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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMIF T <br />304 E WEBER AVE - 3RD FLOOR <br />STOCKTON, CA 95202 <br />Phone: (209) 468-3420 <br />INVOICE <br />FELICIANO, ANGEL M <br />PASQUALA & ANGEL'S MARBLE INC <br />4025 E ARCH RD <br />STOCKTON, CA 95215 <br />Page 1 <br />Account ID <br />AR0022615 <br />LEMMMMMMMEMA <br />Facility ID <br />FA0013511 <br />Date Pnnted <br />L 1/30/2006 <br />Immomomommmmomm <br />RE: PASQUALA & ANGEL'S MARBLE INC <br />4025 E ARCH RD <br />STOCKTON, CA 95215 <br />OWNER: PASQUALA & ANGEL'S MARBLE INC <br />Date Health <br />Program Description Amount <br />Invoice # IN0143248 --- Date of Invoice : 1/27/2006 <br />1/27/2006 2220 SM HW GEN <5 TONSNR <br />1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />I IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII <br />$ <br />IIIIII VIII IIII IIII <br />200.00 <br />$ <br />24.00 <br />Total for this Invoice $ <br />224.00 <br />Payment Due Date <br />3/1/2006 <br />TOTAL DUE this Billing Period $ 224,00 <br />PAYMENT <br />RECEIVED <br />FEB 15 'Oub <br />JOAQUIN (;o <br />EN tRONMENTA� TY <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 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 thereafte <br />254.rpt <br />