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nn oWrWuu• �WurnI I <br /> ENVIRONMENTAL HEALTH DEPART ' Page 1 <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKPhone: ON,209 46 95202 COPY <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD I AR0010198 <br /> Facility ID FA0007059 <br /> Date Printed 1/26/2007 <br /> TOWER MART#104 RE : TOWER MART#104 <br /> <br /> LATHROP, CA 95330 <br /> OWNER : TOWER ENERGY GROUP <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0157203---Date of Invoice: 1125/2007 IIIIIII IIIIII III IIIII IIIII IIIII IIIII IIIII IIIIIIIIII IIIII IIIII IIIII IIII IIIIII IIIII IIIIIIII <br /> 1/25/2007 2220 SM HW GEN<5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 285.00 <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 $ 15.00 <br /> 1/25/2007 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/25/2007 2360 ADDITIONAL UST $ 125.00 <br /> 1/25/2007 2360 ADDITIONAL UST $ 125.00 <br /> 1/25/2007 2360 ADDITIONAL UST $ 125.00 <br /> 1/25/2007 2362 UST FACILITY& 1 TANK $ 500.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for[his Invoice $ 1,450.00 <br /> Payment Due Date 2/ _ 07 <br /> TOTAL DUE this Billing Period 1,450. <br /> FJ le <br /> y/S <br /> PAYMENT <br /> PEC-EIUED <br /> FEB 12 200( <br /> SAN JOAOUIN 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 /> 5254.rpt <br />