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OHIV JUAWUIP1 l.UUrM I T <br /> ENVIRONMENTAL HEALTH DEPARTM"IT Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209)468-3420 <br /> INVOICE Account 10 1 AR0023212 <br /> LMOMMMMEMENOM <br /> Facility ID I FA0013802 <br /> LMMMMMOMMMMI <br /> Date Printed 1/26/2007 <br /> IMMMMEEMMUMMMES <br /> CEN-CAL SERVICES INC RE : CEN-CAL SERVICES INC <br /> 1169 S MAIN ST PMB#278 5151 E ALMONDWOOD DR <br /> MANTECA, CA 95337 MANTECA, CA 95337 <br /> OWNER : JOHN CAMBRA <br /> Date Health <br /> I Program Descriptio.^. <br /> Amount <br /> Invoice# IN0157213---Date of Invoice: 1/25/2007 11111111111111 HE 1111111111 HE 11111111111111111111 fill 1111111111111111111 <br /> 1/25/2007 2220 SM HW GEN<5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 315.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 545.00 <br /> Payment Due Date 2/25/2007 <br /> TOTAL DUE this Billing Period $ 545.00 <br /> RFoF 7- <br /> FFB 2 <br /> S��DA n ?OG7 <br /> �(T <br /> N FryHU%ry CO/yDEPgR - <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 DES 1 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 /> 5254.rpt <br />