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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPART • Page 1 <br /> 600E MAIN STREET COPY <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD AR0016618 <br /> Facility ID FA0009618 <br /> Date Printed 1/28/2008 <br /> STEVE GARCIA RE : FOOD EXPRESS INC <br /> FOOD EXPRESS INC 1250 E MADRUGA RD <br /> <br /> <br /> OWNER : WALTER KEENEY <br /> Date Health <br /> i Program Description Amount <br /> Invoice# IN0170273---Date of Invoice: 1/25/2006 11111111111111111111 IR 11111111111 IN IN <br /> 1/25/2008 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/25/2008 2244 2008 HAZMAT FEE $ 360.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoicel $ 597.00 <br /> Payment Due Date 2/27/2008 <br /> TOTAL DUE this Billing Period $ 597.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 13 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 /> 5254 rpt <br />