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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMF � Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR 00 66869 <br /> Facility ID F FA0009869 <br /> Date Printed 4/8/2003 <br /> INMOMMMEMMMERENG <br /> JM EQUIPMENT CO INC RE : JM EQUIPMENT CO INC <br /> 1245W CHARTER WAY 1245 W CHARTER WAY <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 <br /> OWNER : GEORGE BETKER/DANIEL CLARK <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0103617---Date of Invoice: 2/27/2003 <br /> 2/27/2003 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 2/27/2003 2244 PACT TRANSFER RECORD-DES $ 360.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> Total for this Invoice $ 577.50 <br /> Payment Due Date 3129/2003 <br /> TOTAL DUE this Billing Period $ - 577.50 <br /> PAYMEN-r <br /> RECEIVED <br /> APR 7 2003 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRTpAENrAI PEA!TH^VISION <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 />