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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMr "T <br />304 E WEBER AVE - 3RD FLOOR <br />STOCKTON, CA 95202 <br />Phone: (209) 468-3420 <br />INVOICE <br />TERRILL TRANSPORTATION INC <br />2459 MARIPOSA RD <br />STOCKTON, CA 95205 <br />Page 1 <br />Account ID AR0017621 <br />Facility ID FA0010621 <br />Date Printed1/26/2007LONNNOMMMMMOMMA <br />RE: TERRILL TRANSPORTATION <br />2459 MARIPOSA RD <br />STOCKTON, CA 95205 <br />OWNER: TERRILL, KEVIN S <br />Date Health Amount <br />Proaram Description <br />Invoice # IN0156922 --- Date of Invoice : 1/25/2007 <br />1/25/2007 2220 SM HW GEN <5 TONS/YR <br />1/25/2007 2244 2007 HAZMAT FEE <br />1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />IIIIIII IIIT III IIIA X1111IIIA IIIA IIIA IIIA IIIA IIIA IIIA 1111111111IIIA 1111111 <br />$ 206.00 <br />$ 315.00 <br />$ 24.00 <br />Total forth;, Invoice $ 545.00 <br />Payment Due Date 2/25/2007 <br />TOTAL DUE this Billing Period $ 545.00 <br />PAYMENT <br />RECEIVED <br />FEB 2 1 2007 <br />SAN JOAOUIN COUNTY <br />HEALTH EVlFI NMENTAL <br />EP.ARTMfENT <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 <br />For DES / HMMP Fees <br />For all SERVICE FEES <br />at the Rate of 100% of the Base Fee <br />Penalties will be added at the Rate of 10% <br />Penalties will be added at the Rate of 10 <br />30 Days after the Due Date <br />45 Days after the Invoice Date <br />60 Days after the Invoice Date and each 30 Days thereafter <br />;4 rpt <br />