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JAN-1UAUUIN COUNTY ENVG2ONMENTAL HEALTH DEPARTMF 'T ?04 E WEBER AVE - 3RD FLOOR STOCKTON, CA 95202 Phone: (209) 468-3420 INVOICE BJJ COMPANY INC PO BOX 30010 STOCKTON, CA 95213 Date Health Description Invoice # IN0115569 --- Date of Invoice : 2/4/2004 2/4/2004 2220 SM HW GEN <5 TONS/YR 2/4/2004 2244 2004 HAZMAT FEE 2/4/2004 2301 UST STATE SURCHARGE 2/4/2004 2301 UST STATE SURCHARGE 2/4/2004 2360 ADDITIONAL UST 2/4/2004 2362 UST FACILITY & 1 TANK 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE 1000' Page 1 Account ID AR0003120 Facility ID FA0003541 LMENNUMMMMENOM Date Printed 1 2/5/2004 RE: BJJ COMPANY INC 2431 E MARIPOSA RD STOCKTON, CA 95205 OWNER: BLINCOE, E F & BLINCOE, H & JR Amount RECV\/ED FEg 2 3 2004 SAN JOAQUIN COUNTY ENVIRONMENTAL HEALf H DEPARIUENT Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT Penalties will be added to all Permit Fees For DES / HMMP Fees For all SERVICE FEES 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 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter $ 200.00 $ 405.00 $ 15.00 $ 15.00 $ 125.00 $ 500.00 $ 24.00 Total for this Invoice $ 1,284.00 Payment Due Date 3/6/200a,\ $ 1,284.00 TOTAL DUE this Billing Period RECV\/ED FEg 2 3 2004 SAN JOAQUIN COUNTY ENVIRONMENTAL HEALf H DEPARIUENT Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT Penalties will be added to all Permit Fees For DES / HMMP Fees For all SERVICE FEES 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 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter