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JAN JUAUUIN GUUN I Y Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTME6 f, , <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0001704 <br /> Facility ID FA0001705 <br /> 1 Date Printed 1/26/2007 <br /> � O / <br /> COSTCO WHOLESA E #38 \\v / RE : COSTCO WHOLESALE#38 <br /> n�—"1 1616 E HAMMER LN <br /> 999 LAKE DR h . I G?/Y/5/v STOCKTON, CA 95210 <br /> ISSAQUAH,WA 98027 �J <br /> OWNER : COSTCO WHOLESALE CORPORATION <br /> Health <br /> Amount <br /> Date Program Description - <br /> Invoice# IN0157123---Date of Invoice: 1/25/2007 IIIIIIIIIIIIIIIII VIIIIIIIIIIIIIVIII VIII VIIIVIII VIII VIIIVIIIIIIIIIIIII VIIIII <br /> $ 2006.6.00 <br /> 1/25/2007 2220 SM HW GEN <5 TONS/YR $ 690.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 15.00 <br /> 1/25/2007 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/25/2007 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/25/2007 2301 UST STATE SURCHARGE FEE $ 125.00 <br /> 1/25/2007 2370 ADDITIONAL UST- 1702 COMPLIANT $ 12500 <br /> 1/25/2007 2370 ADDITIONAL UST-1702 COMPLIANT $ 500.00 <br /> 1/25/2007 2372 UST FACILITY& 1 TANK-1702 COMPLIANT $ 24.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE Total for this Invoice $ 1,715.00 <br /> Payment Due Date 07 <br /> TOTAL DUE this Billing Period <br /> MAR 12 2ooT <br /> Coo <br /> SA ENV pONIME TMAtE <br /> HEALTH DEPAR <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> For all SERVICE FEES <br /> FPeraltiesil:beadde:d to all Permit FeesFor OES I HMMP Fees Penalties will be added at the Rate of 10tf the Base Fee Penalt45 Da Is aftetthe Inved at l be atoice Datehe Rate f 10/ 60 Days after the Invoice Date and each 30 Days thereafteraDue Date Y <br /> �1�4 rpt <br />