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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM"T Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0025028 <br /> Facility ID FA0014721 <br /> Date Printed 1130/2006 <br /> GASOLINE ALLEY RE : GASOLINE ALLEY <br /> <br /> LODI, CA 95240 <br /> OWNER : PRICE, TOM <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0144434—Date of Invoice: 1/27/2006 1111111111 IN 1111111111111111111 <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 85.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 309.00 <br /> Payment Due Date 3/112006 <br /> TOTAL DUE this Billing Period $ 309.00 <br /> r'rry�l`i rf� <br /> FEB 2 8 2006 <br /> SAN JOAQUIr;COUNT( <br /> ENVIRONMENTAL <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 thereafter <br /> 5254.rpt <br />