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JMPIJ WVIIYl VV1Y1i <br />ENVIRONMENTAL HEALTH DEPARTJNT Y <br />600 E MAIN STREET <br />STOCKTON, CA 95202 <br />Phone: (209) 468-3420 <br />INVOICE <br /> <br /> <br /> <br />• Page 1 <br />COPY <br />Account ID I AR0002341 <br />Facility ID FA0002327 <br />Date Printed F 1/28/2008 <br />RE: STOCKTON GOLF & COUNTRY CLUB <br />3800 COUNTRY CLUB BLVD <br />STOCKTON, CA 95204 <br />OWNER: STOCKTON GOLF & COUNTRY CLUB <br />Date Health <br />Program Description <br />Amount <br />Invoice # IN0170266 -- Date of Invoice : 1/25/2008 <br />1/25/2008 2220 SM HW GEN <5 TONS/YR <br />1/25/2008 2244 2008 HAZMAT FEE <br />1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />I IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII <br />$ <br />IIIIII VIII IIII IIII <br />213.00 <br />$ <br />345.00 <br />$ <br />24.00 <br />Total for this Invoice $ 582.00 <br />Payment Due Date 2/27/2008 <br />TOTAL DUE this Billing Period <br />PAYMENT <br />RECEIVED <br />FEB 2 6 2008 <br />SAN JOAQUIN COUNTY <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 />i254.rpt <br />