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bAN JUAWIJIN I:UUN 1 T Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTME"T <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0016930 <br /> LMMMMOMMMMMMA <br /> Facility ID F'FA 0009930 <br /> Date Printed 1/30/2006 <br /> <br /> <br /> 1821 E CHARTER WAY <br /> STOCKTON, CA 95205 <br /> OWNER : HANNIBAL INDUSTRIES INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0142875—Date of Invoice: 1/27/2006 IIIIIIIIIIIII VIIVIII VIIIIIIIIIIIIIIIIII VIII VIII VIII IIIIIIIIII VIII IIII IIII <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 390.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Involcel $ 614.00 <br /> Payment Due Date 31112 <br /> TOTAL DUE this Billing Period $ 614.0 <br /> PAYMENT <br /> RECEIVED <br /> FEB 13 2066 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> Please make Ceck�s AYABLE to: 'EHD' — eturn a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fe i 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 /> 5254.rpt <br />