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JAN JUAVUIN UOUN I Y <br /> ENVIRONMENTAL HEALTH DEPARTM' P�gN1 } <br /> 304 E WEBER AVE -3RD FLOOR f <br /> STOCKTON, CA 95202 <br /> 68-3420 1��� 1 <br /> INVOICE Account By 2 <br /> Facility ID FA0003680 <br /> Date Printed 1/26/2007 <br /> CALIFORNIA TANK LINES INC RE : CALIFORNIA TANK LINES INC <br /> PO BOX 6245 3105 S EL DORADO ST <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 <br /> OWNER : ELLIS, ROBERT A JR <br /> Date Health <br /> Proaram Description Amount <br /> Invoice# IN0156355---Date of Invoice : 1/25/2007 11II1111I1111IIIVlII VIII VIII IIIII IIIII VIII VIII VIII VIII VIII 11111111111 <br /> IIII IIII <br /> 1/25/2007 2220 SM HW GEN<5 TONS/YR $ 206.00 <br /> 1/25/2007 2232 HAZARDOUS WASTE CA FACILITY $ 739.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 435.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 1,404.00 <br /> Payment Due Date 2/25/2007 <br /> TOTAL DUE this Billing Period $ 1,404.00 <br /> P YMEN-f <br /> RECEIVED <br /> FEB 0 7 20011 <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 /> 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 />