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5AN JUAUUIN (:JUN I Y ENVIRONMENTAL HEALTH DEPARTM1 Page 1 304 E WEBER AVE -3RD FLOOR STOCKTON, CA 95202 Phone: (209)468-3420 INVOICE AccountlD AR0003421 Facility ID FA0003833 Date Printed 2/21/2007 SUPER STORE INDUSTRIES* RE : SUPER STORE INDUSTRIES* LATHROP, CA 95330 OWNER : SUPER STORE INDUSTRIES Date Health Program Description =Amount Invoice# IN0156222---Date of Invoice: 1/24/2007 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII VIII IIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIII IIIIIN Hrs Employee 12/18/2006 2361 333-INSPECTION/REINSPECTION(1 hr minimum) 1.50 YANG $ 142.50 / Total for this Invoice $ 142.50✓ Payment Due Date 2/25/2007 Invoice# IN0156821 ---Date of Invoice: 1/25/2007 IIIIIIIIIIIIIIIIIIIIIIIIIIIVIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIINIIII 1/25/2007 2214 CalARP FAC STATE SURCHARGE FEE $ 270.00 1/25/2007 2220 SM HW GEN<5 TONS/YR $ 206.00 1/25/2007 2244 2007 HAZMAT FEE $ 690.00 1/25/2007 2301 UST STATE SURCHARGE FEE $ 15.00 1/25/2007 2301 UST STATE SURCHARGE FEE $ 15.00 1/25/2007 2301 UST STATE SURCHARGE FEE $ 15.00 1/25/2007 2301 UST STATE SURCHARGE FEE $ 15.00 1/25/2007 2360 ADDITIONAL UST $ 125.00 1/25/2007 2360 ADDITIONAL UST $ 125.00 1/25/2007 2360 ADDITIONAL UST $ 125.00 1/25/2007 2362 UST FACILITY& 1 TANK $ 500.00 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 / Total for this Invoice $ 2,125.00 Payment Due Date 2/25/2007 TOTAL DUE this Billing Period $ 2,267.50 -) `UUP SAN JO�,OUIIh -NTALS sy�IVIRON 14EALTH DEP.kgT1iE.N Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT Penalties will be added to all Permit Fees For OES/HMMP Fees For all SERVICE FEES 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% 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter 5254-rpt