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. mlv JWMWUlly LUUNI Y <br /> ENVIRONMENTAL HEALTH DEPARTMI="'T Page 1 <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA ^3202 "' <br /> Phone: (209) 468-3420 COPY <br /> INVOICE AccountlD AR0017935 <br /> Facility ID FA0010935 <br /> INEMMMMMMMMA <br /> Date Printed 2/28/2007 <br /> <br /> <br /> STOCKTON, CA 95205 <br /> OWNER : JOSE LUIS LOPEZ <br /> Date Health <br /> Program Description <br /> -- �— Amount <br /> Invoice# IND156968---Date of Invoice : 1/25/2007 I IIIIIIIII IIIIIVIIIVII III IIIIIIVIIIIIIIIIIIIIVIIIVIIIfill <br /> IIIIIIIIIIIIIIIIIII <br /> 1/25/2007 2220 SM HW GEN <5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 100.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 330.00 <br /> Payment Due Date 2/25/2007 <br /> TOTAL DUEthis Billing Period $ 330.00 <br /> No1 <br /> PAYMENT <br /> PENALTY OWING REOEIVED <br /> APR 5 2007 <br /> SAN JOAQUIN GOUNTY <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 /> S25a pn <br />