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JAN JUAUUIN GUUN I Y <br />ENVIRONMENTAL HEALTH DEPARTIV-7 <br />304 E WEBER AVE - 3RD FLOOR <br />STOCKTON, CA 95202 <br />Phone: (209) 468-3420 <br />INVOICE <br />LUTZ, ROBERT & KATHY <br />SHELL FOOD MART* <br />2320 N EL DORADO ST <br />STOCKTON, CA 95204 <br />Page 1 <br />Account ID <br />AR0008445 <br />Facility ID <br />FAO 06447 <br />Date Printed <br />1/26/2007 <br />RE: SHELL FOOD MART* <br />2320 N EL DORADO ST <br />STOCKTON, CA 95204 <br />OWNER: LUTZ, ROBERT & KATHY <br />Date Health <br />Program Description Amount <br />Invoice # IN0157225 --- Date of Invoice : 1/25/2007 <br />1/25/2007 <br />2220 <br />SM HW GEN <5 TONS/YR <br />1/25/2007 <br />2244 <br />2007 HAZMAT FEE <br />1/25/2007 <br />2301 <br />UST STATE SURCHARGE FEE <br />1/25/2007 <br />2301 <br />UST STATE SURCHARGE FEE <br />1/25/2007 <br />2301 <br />UST STATE SURCHARGE FEE <br />1/25/2007 <br />2360 <br />ADDITIONAL UST <br />1/25/2007 <br />2360 <br />ADDITIONAL UST <br />1/25/2007 <br />2362 <br />UST FACILITY & 1 TANK <br />1/25/2007 <br />2399 <br />UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />1 1111111 111111 III VIII VIII VIII VIII VIII VIII VIII VIII VIII <br />VIII 1111111111 <br />$ <br />VIII IIII IIII <br />206.00 <br />$ <br />270.00 <br />$ <br />15.00 <br />$ <br />15.00 <br />$ <br />15.00 <br />$ <br />125.00 <br />$ <br />125.00 <br />$ <br />500.00 <br />$ <br />24.00 <br />Total for this Invoicel <br />$ <br />1,295.00 <br />Payment Due Date <br />2/251 <br />$ <br />295.00 <br />TOTAL DUE this Billing Period <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 />J2 M. rpt <br />