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SAN JOAQUIN COUNTY Ppgc 1 <br /> ENVIRONMENTAL HEALTH DEPARTD'-^IT <br /> 600 E MAIN STREET -- COPY <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0016222 <br /> Facility ID F FA0009222 <br /> Date Printed r 1/28/2008 <br /> IMMENUMMMMUMMIll <br /> CAMPORA PROPANE SERVICE RE : CAMPORA PROPANE SERVICE <br /> 1421 N HUNTER ST 2525 S MARIPOSA RD <br /> STOCKTON, CA 95202 STOCKTON, CA 95205-7820 <br /> OWNER : TP CAMPORA/RON CAMPORA <br /> Health <br /> Date Program Description Amount <br /> Imoice# IN0170118---Date of Invoice: 1/25/2008 IIIIIiIVlI VIII VIII IIIIII VIII VIII VIII VIII IIII 11111 11111111 <br /> 1/25/2008 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/25/2008 2244 2008 HAZMAT FEE $ 300.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 537.00 <br /> Payment Due Date 2/27/2008 <br /> TOTAL DUE this Billing Period $ .00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 15 2ut,,, <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 /> "14 rpt <br />