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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM� 'T - Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0006672 <br /> Facility ID I FA0005848 <br /> Date Printed 1/30/2006 <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 <br /> Program Description Amount <br /> Invoice# IN0143170---Date of Invoice: 1/27/2006 IIIIIIIIIIIIIIII IIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIII VIII IIII IIII <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 360.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 584.00 <br /> Payment Due Date 3/1/2006 <br /> TOTAL DUE this Billing Period $ 84.00 <br /> PAYME GT <br /> RECEIVED <br /> OR 0 `4 2006 <br /> SAN JOAQUIN G'OUN-PI <br /> ENVIRONME14TAL <br /> HEALTH 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/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 /> iIS4.rpt <br />