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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTI&T . Page 1 <br /> 304 t WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> AMENDED <br /> INVOICE Account ID AR0003702 <br /> Facility ID FA0004053 <br /> Date Printed 3/2/2004 <br /> LUSTRE-CAL NAMEPLATE CORP RE : LUSTRE-CAL NAMEPLATE CO <br /> 110 E TURNER RD 110 E TURNER RD <br /> LODI, CA 95240 LODI, CA 95240 <br /> OWNER : LUSTRE-CAL NAME PLATE CORP <br /> Date Health <br /> —_ <br /> Program Description <br /> ... Amou.^t <br /> Invoice# IN0115456--Date of Invoice : 2/4/2004 <br /> 2/4/2004 2227 GEN 5<25 TONS PERMIT $ 1,566.00 <br /> 2/4/2004 2232 HAZARDOUS WASTE CA FACILITY $ 717.00 <br /> 2/4/2004 2244 2004 HAZMAT FEE $ 510.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> 3/2/2004 2220 SM HW GEN<5 TONS/YR .00 <br /> $ 200 <br /> 3/2/2004 9997 CORRECTION TO A CHARGE ($ 1,200.00) <br /> Total for this Invoice $ 1,451.00 <br /> Payment Due Date /3f 04 <br /> TOTAL DUE this Billing Period $ 1,451.00 <br /> PAYMENT <br /> RECEIVED <br /> MAR 8 2004 <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 OES/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 /> 5255.rpt <br />