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5AN JOAQUIN GOUN I Y <br /> ENVIRONMENTAL HEALTH DEPARTMFK"r Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD AR0003450 <br /> Facility ID FA0003862 <br /> Date Printed 1/26/2007 <br /> ECONO GAS" RE : ECONO GAS' <br /> <br /> LODI, CA 95240 <br /> OWNER : SINGH, SUKH C <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0156612---Date of Invoice : 1125/2007 11111111111111 h 11111 11111 11111 11111 11111 11111 11111 11111 11111 11111 IN 111111 11111 11 IN <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 /> 1/25/2007 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 for this Invoice $ 1,310.00 <br /> Payment Due Date 2/25/2007 <br /> TOTAL DUE this Billing Period $ 310.0 <br /> FEB 2 i LGi;i <br /> SAN CoLjp' y <br /> ENVIRONMENTAL <br /> HEALTH DEP4r3TMENT <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 />