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yr Iv �Wuul l Wull1 I <br /> ENVIRONMENTAL HEALTH DEPARTMW Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STO 95202 COPY <br /> Phone:e: (209(20946468-3420 <br /> INVOICE Account ID AR0009105 <br /> Facility ID FA0006423 <br /> Date Printed 1/26/2007 <br /> LmmommommummuA <br /> LEE, JEAN HYUN RE : UNITED GAS <br /> UNITED GAS 3440 E MAIN ST <br /> 3440 E MAIN ST STOCKTON, CA 95205 <br /> STOCKTON, CA 95205 <br /> OWNER : LEE, JEAN HYUN <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0167270---Date of Invoice: 1/25/2007 IIIIIIIIIIIIIIIIIIIIIIIIIIIVIIIVIIIIIIDVIIIVIIIIIIIIIIIIIIIIIIIIIIIIIIIVIIIIIIIIIII <br /> 1/25/2007 2220 SM HW GEN<5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 85.00 <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 S 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 this Invoice $ 1,110.00 <br /> Payment Due Date 2/25/2007 <br /> TOTAL DUE this Billing Period $ 10. 0 <br /> PAYMENT <br /> RECEIVED <br /> FEB 16 2007 <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 />