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ENVIRONMENTAL <br /> 14 AL H I T T - COPY <br /> ENVIRONMENTAL HEALTH DEPARTM� <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 AR0009105 <br /> Phone: (209) 468-3420 Aaount ID <br /> INVOICEFacility ID FA0006423 <br /> Date Printed 1/2612007 <br /> RE : UNITED GAS <br /> LEE, JEAN HYUN 3440 E MAIN ST <br /> UNITED GAS STOCKTON, CA 95205 <br /> 3440 E MAIN ST <br /> STOCKTON, CA 95205 OWNER : LEE, JEAN HYUN <br /> Amount <br /> Health <br /> Date Program Description <br /> Invoice# IN0157270"-Date of Invoice: 1/2512007 IIIIIIIIIIIIII III IIIIIIIIII VIII VIII VIII VIIIIIIIIIIIIIIIIII VIII$ 206.I00II <br /> /III IIIIIIIV2 <br /> $ 85.00 <br /> 1/2512007 2220 SM HW GEN <5 TONS/YR $ 15.00 <br /> 1/2512007 2244 2007 HAZMAT FEE $ 15.00 <br /> 1/25/2007 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/25/2007 2301 UST STATE SURCHARGE FEE $ 125.00 <br /> 1/25/2007 2301 UST STATE SURCHARGE FEE $ 125.00 <br /> 1/2512007 2360 ADDITIONAL UST $ 500.00 <br /> 1125/2007 2360 ADDITIONAL UST $ 24.00 <br /> 1/25/2007 2362 UST FACILITY& 1 TANK SURCHARGE FEE <br /> -- <br /> 1125/2007 2399 UNIFIED PROGRAM FAC STATE Total for this Invoice $ 11110.00 <br /> Payment Due Date -X25120077 <br /> TOTAL DUE this Billing Period $ 410.00 ' <br /> PAYMENT <br /> RECEfVED <br /> FEB 16 2003 <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 /> For DES/HMMP Fees For all SERVICE FEES <br /> Penalties will be added to all Permit Fees Penalties will be added at the Rate of 10% <br /> at the Rate of 100%of the Base Fee Penalties Days be <br /> added at the Rate Date f 10°/ 60 Days after the Invoice Date and each 30 Days therea' <br /> 30 Days after the Due Date <br /> 5254.rpt <br />