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SAN JOA6IUIN COUNTY <br /> ENWRONMENTAL HEALTH DEPARTMF 'T Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account to AR0020227 <br /> Facility ID FA0012373 <br /> Date Printed E 3/5/2004 <br /> MOBIL OIL'N LUBE RE : MOBIL OIL 'N LUBE <br /> P.O. BOX 266 1108 BLACK DIAMOND WAY <br /> LODI, CA 95241 LODI, CA 95240 <br /> OWNER : MOBIL OIL 'N LUBE <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0117299--Date of Invoice : 2/412004 <br /> 2/4/2004 2244 2004 HAZMAT FEE $ 100.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 124.00 <br /> Payment Due Date 316/2004 <br /> Invoice# IN0118204--Date of Invoice: 31512004 <br /> 3/5/2004 2221 USED OIL ONLY-<5 TONS/YR $ 50.00 <br /> Total for this Invoice $ 50.00 <br /> Payment Due Date 41412004 <br /> TOTAL DUE this Billing Period $ 174.00 <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 I 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 /> 5255.rpt <br />