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,, . ..,.. � . . , .. Page <br /> ENVIRONMENTAL HEALTH DEPARTMF T <br /> 600 E MAIN STREET n <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 J �J <br /> INVOICE Account ID AR0017231 <br /> Facility ID FA0 110231 <br /> LMOMEMENOMEMN <br /> Date Printed 2/11/2009 <br /> loommoommumomma <br /> UNITED RENTALS NORTHWEST INC RE : US RENTALS <br /> US RENTALS 2081 E CHARTER WAY <br /> 2911 E FREMONT ST STOCKTON, CA 95205 <br /> STOCKTON, CA 95205 <br /> OWNER : UNITED RENTALS NORTHWEST INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# 11,101 M355—Dade of Invoice: 1/29/2009 11111111111111111 Hill IIIII IIIII Fill IIIIIIIIIIIIIIIIIIIIIII�I�I@111111111 . <br /> 1/29/2009 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/29/2009 2244 2009 HAZMAT FEE $ 420.00 <br /> 1/29/2009 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 657.00 <br /> Payment Due Date 2/28/2009 <br /> TOTAL DUE this Billing Period $ 657.00 <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/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 Data 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br />