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SAN JOAQUIN COUNTY <br /> Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTRW <br /> 600 E MAIN STREET 41 <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0027281 <br /> Facility ID FA0015749 <br /> Date Printed 1/28/2008 <br /> ADAMS, DAVID RE : ADAMS AUTOMOTIVE <br /> ADAMS AUTOMOTIVE 1624 E ALPINE AVE <br /> <br /> <br /> OWNER : ADAMS, DAVID <br /> Health <br /> Date program Description _ _ _ _ ^ Amount <br /> Invoice# IN0171970---Date of Invoice: 1/25/2008 IIIIIIIIIIIVIIIVIIIVIIIVIIIVII VIIVIIVIIIVIIIIIIIIII IIIIIIIII IIII <br /> 1/25/2008 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/25/2008 2244 2008 HAZMAT FEE $ 100.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 337.00 <br /> Payment Due Date 2/27/2008 <br /> TOTAL DUE this Billing Period $ 337.00 <br /> RECEIVED <br /> FEB 2 7 2008 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMEHEALTH DEPARTT EM 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 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 /> 5254.rpt <br />