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SAN JOAQUIN COUNTY <br /> ENVIRONMF..NTAL HEALTH DEPARTM" �... , Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 R E C E I V E D <br /> INVOICE �' f �`^ <br /> F���, Account ID AR0009290 <br /> Facility 1D FA0006773 <br /> p IZSTACB20011 Date Printed 1/30/2006 <br /> ENVIRONMENTAL COMPLIANCE DEPT RE :. ARCO#02186 <br /> ARCO#02186 3212 N CALIFORNIA ST <br /> PO BOX 6038 STOCKTON, CA 95204 <br /> ARTESIA, CA 90702-6038 <br /> OWNER : BP WEST COAST PRODUCTS LLC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0143020---Date of Invoice: 1/27/2006 11111 11111 11111 11111 ME 11111 11111 11111 IN 111111 11111 1111 1111 <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR <br /> $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE <br /> $ 270.00 <br /> 1/27/2006 2301 UST STATE SURCHARGE FEE <br /> $ 15.00 <br /> 1/27/2006 2301 UST STATE SURCHARGE FEE <br /> $ 15.00 <br /> 1/27/2006 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/27/2006 2360 ADDITIONAL UST $ 125.00 <br /> 1/27/2006 2360 ADDITIONAL UST $ 125.00 <br /> 1/27/2006 2362 UST FACILITY& 1 TANK $ 500.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 1,289.00 <br /> Payment Due Date 3M, 06 <br /> TOTAL DUE this Billing Period 289.0 <br /> FES 2 r <br /> SAN`04QEUPginR/ <br /> yT V <br /> ���i�°v�H 0J'rrf , ' <br /> `;2 <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 /> 5254.rpt <br />