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SAN JQAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTt 'T Page 1 <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0006672 <br /> Facility ID FA0005848 <br /> Date Printed 1/24/2005 <br /> STOCKTON TRI INDUSTRIES INC RE : STOCKTON TRI INDUSTRIES INC <br /> 2141 E ANDERSON ST 2141 E ANDERSON ST <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 <br /> OWNER : STOCKTON TRI INDUSTRIES INC <br /> Date Health Amount <br /> oro-rem Description <br /> Invoice# IN0128449---Date of Invoice : 1/24/2005 I IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII 111111111 IIII <br /> 1/24/2005 2220 SM HW GEN <5 TONS/YR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 360.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 584.00 <br /> Payment Due Date 2/23/2005 <br /> TOTAL DUE this Billing Period $ 584.00 <br /> �AY�E�� <br /> ,ECEj EG <br /> �EIB 2 4 2005 <br /> SAN JOAC)UIN COUNT' <br /> ENVIRONMENTAL <br /> tiFALTH DEPARTMENT <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For OES I HMMP Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> i2ii.rpt <br />