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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMq8 + • <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209)468-3420 <br /> INVOICE <br /> Account AR0003298 <br /> Facility ID F FA000 771 <br /> Date Printed 212872007 <br /> SAINT, SURINDER SINGH RE : WEST LANE CHEVRON* <br /> <br /> STOCKTON, CA 95210 <br /> OWNER : SAINI, SURINDER SINGH <br /> Date Health Amount <br /> Program Description <br /> Invoice# IN0156749—Date of Invoice: 112512007 11111111 IIIIII III IIIII IIIII IIIII IIIII IIIII IIIII IIIIIIIIII IIIIIIIIII IIII IIIIII IIIII IIII IIII <br /> 1/25/2007 2220 SM HW GEN<5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 285.00 <br /> 1/25/2007 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1125/2007 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/25/2007 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/25/2007 2360 ADDITIONAL UST $ 125.00 <br /> 1/25/2007 2360 ADDITIONAL UST $ 125.00 <br /> 1/25/2007 2362 UST FACILITY&1 TANK $ 500.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total far this Invoice $ 1,310.00 <br /> SECUCgyp@ p®gyp ■A���+ea Payment Due Date 2125/2007 <br /> �� ® UCYTIC .o TOTAL DUE this Billing Period 1 $ 1,310.00 <br /> Asc <br /> ovED <br /> MAR 16 2001 <br /> SAN JOAOUIN 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 /> 5254.rpt <br />