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OMNI ./UAUUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMr"T Page 1 <br /> 600 E MAIN STREET _ <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0003346 <br /> Facility ID FA0003767 <br /> emoommmmoommma <br /> Date Pnnted 1/28/2008 <br /> JOHN TAYLOR FERTILIZER' RE : JOHN TAYLOR FERTILIZER' <br /> PO BOX 15289 1819 S ARGONAUT ST <br /> SACRAMENTO, CA 95851 STOCKTON, CA 95206 <br /> OWNER : WILBER ELLIS CO <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0170106---Date of invoice: 1/25/2008 (IIIIIIIIII III VIII VIII VIIIIIIIIIIIII IIIIIIIIII IIIIIIIIIIIIII(III II VIIIIIIIIIII <br /> 1/25/2008 2214 CaIARP FAC STATE SURCHARGE FEE $ 270.00 <br /> 1/25/2008 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/25/2008 2244 2008 HAZMAT FEE $ 690.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Involcel $ 1,197.00 <br /> Payment Due Date 2/27/2008 <br /> TOTAL DUE this Billing Period $ 1,197.00 <br /> V <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 /> 1254 rpt <br />