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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMF"T 600 E MAIN STREET ild STOCKTON, CA 95202 Phone: (209) 468-3420 INVOICE to �ty, WAL-MART STORES INC WALMART #178 —7 'S _1_X" 702 SW EIGHTH ST BENTONVILLE, AR 72716-0500 Date Health Prnnram DescrOtion Page 1 Account ID AR0009063 "Facility ID FA0006691 Date Printed 1/28/2008 RE: WALMART #1789 2350 W KETTLEMAN LN LODI, CA 95242 OWNER: WALMART, INC Invoice # 10170687 --- Date of Invoice. 1/25/2008 1/25/2008 2220 SM HW GEN <5 TONSNR 1/25/2008 2244 2008 HAZMAT FEE 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE Total for this Invoice $ 537.00 Payment Due Date 2/27/2008 TOTAL DUE this Billing Period $ 537. R c �Vryr FF8 2 0 2008 "AAou N IROIVIN COUN H�Th t7 FARrM NT Please make Checks PAYABLE to:' 'EHD' -- Return a Copy of This STATEMENT with Your PAYMENT Penalties will be added to all Permit Fees For OES 1 HMMP Fees For all SERVICE FEES 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% 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter 5254.rpt Amount 1111111111111 I II II I I I I II II I I III IIII 11111! I III I I II II IIIII 11111 1111111111 $ VIII IN Illi 213-00 $ 300.00 $ 24.00 Total for this Invoice $ 537.00 Payment Due Date 2/27/2008 TOTAL DUE this Billing Period $ 537. R c �Vryr FF8 2 0 2008 "AAou N IROIVIN COUN H�Th t7 FARrM NT Please make Checks PAYABLE to:' 'EHD' -- Return a Copy of This STATEMENT with Your PAYMENT Penalties will be added to all Permit Fees For OES 1 HMMP Fees For all SERVICE FEES 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% 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter 5254.rpt