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SAN JOAQUIN COUNTY • Page 1 <br /> ENVIRONMENTAL HEALTH DEPART) T <br /> 600 E MAIN STREET <br /> STOCKTON, CA 96202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0029837 <br /> LMOOMMMMMMOON <br /> Facility ID f FA0016955 <br /> Date Printed 1/31/2011 <br /> SKS ENT RE : SKS ENT <br /> PO BOX 1109 18832 MELLO AVE <br /> RIPON,CA 95366 RIPON, CA 95366 <br /> OWNER : SKS ENT <br /> Date Health Amount <br /> Program Description <br /> Invoice# IN0212748---Date of Invoice: 1131/2011 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIVIIVIII VIIVIIIVIII IIIIIIIilllllllllllll llll <br /> 1/28/2011 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/28/2011 2223 AGRICULTURAL HAZ MAT STORAGE FACILITY $ 18.00 <br /> 1128/2011 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1/28/2011 ERSC ELECTRONIC REPORTING SURCHARGE $ 25.00 <br /> Total for this Invoice $ 280.00 <br /> Payment Due Date 31212011 <br /> TOTAL DUE this Billing Period $ 280.00 <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 />