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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMIS Page 1 <br /> 304 L WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR001 5535 <br /> LMMMEMMMMONMJ <br /> Facility ID FA0010535 <br /> LEEMMMMENOMMEMA <br /> Date Printed 1/26/2007 <br /> LMONEEMENNNOMMO <br /> LIBERTY PRINTING INC RE : LIBERTY PRINTING INC <br /> 2601 TEEPEE DR 2601 TEEPEE DR <br /> STOCKTON, CA 95205-2421 STOCKTON, CA 95205 <br /> OWNER : MOSSBARGER,JAMES M <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0156908---Date of Invoice: 1125/2007 I11111111111IIIVIIIIIIIIIVIIVIIVIIIVIVIIII1 111111111111111 III/III/ <br /> 1/25/2007 2220 SM HW GEN <5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 300.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 530.00 <br /> Payment Due Date 2/25/2007 <br /> TOTAL DUE this Billing Period $ 530.00 <br /> v' <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 I 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 />