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SAN JUAUUIN GUUN TY <br /> ENVIRONMENTAL HEALTH DEPARTME Page 1 <br /> 304 E WEBER AVE -3RD FLOORSTOCK — <br /> Phone: ON,209 46 95202 COPY <br /> Phone: (209)468-3420 <br /> INVOICE APR 2 4 <br /> Account ID AR0023212 <br /> Facility ID FA0013802 <br /> Date Printed 4/25/2006 <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 CAMERA <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0143380—Date of Invoice: 1/27/2006 1111111 111111 III IIIII IIIII IIIII IIIII IIIII IIIIIIIIII IIIII IIIII IIIIIIIIIIIIIIIIIIIIIII <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 315.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE F $ 24.00 <br /> 3/15/2006 9987 Haz Mat Program Penalty Fee / $ 31.50 <br /> 4/15/2006 PERMIT FEE PENALTY $ \ 200.00 j <br /> M / Total for this Invoice $ 770.50 <br /> [� M +� Payment Due Date 3/1/2006 <br /> q3 1 TOTAL DUE this Billing Period $ 770,50 <br /> WE WOULD APPRE FATE YOUR <br /> PAYMENT DAYI <br /> AT IMN <br /> yCUIR H�LTH PERMIT FOR <br /> 'T*9PARENT YEAR <br /> WILL T BE ISSUED UNTIL <br /> . ,,TWEAMOUNy.�,�TS <br /> AR(PATE IN Fit <br /> NTERED_ _ AF " QT <br /> MAY <br /> 2 20 <br /> GL # �Jo �6 <br /> CHECK # yFA[Ty�FU �NT <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/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 />