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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM� _ Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0003549 <br /> LMMMMONOMMOMM <br /> Facility ID FA000394 <br /> Date Printed 3/1/2007 <br /> lummemommommmmms <br /> ORCHARD SUPPLY HARDWARE RE : ORCHARD SUPPLY HARDWARE#1570 <br /> <br /> TRACY, CA 95376 <br /> OWNER : ORCHARD SUPPLY HARDWARE CORP <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0157280---Date of Invoice: 1125/2007 11111111111111111111 HE IIIII IIIII IIIIIIIIII IIII IIIIII IIIII III IN <br /> 1/25/2007 2220 SM HW GEN<5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 495.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total forthis Invoicel $ 725.00 <br /> Payment Due Date 2/25/2007 <br /> c_ <br /> TOTAL DUE this Billing Period $ 25.00 <br /> PAYMEN_r <br /> RECE)VEG <br /> MAP <br /> 01 't <br /> BAN JOAQUIN COUNi f <br /> ENVIRONMENTAL <br /> HEN-T11 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 OES/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 />