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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM`"'r Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)4 <br /> Account ID AR0003913 <br /> Facility ID FA0004231 <br /> Date Printed 2/28/2008 <br /> f <br /> J M MFG CO INC RE : J M EAGLE WATER SYSTEM <br /> 1051 SPERRY RD 1051 E SPERRY RD <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 <br /> OWNER : J M MANUFACTURING CO INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0170310---Date of Invoice : 1/25/2008 �111111 11111 111 111 IIE 11111 11111 IHI 11111 IHI 111 11111�111 111111 11111 1111�111 <br /> 1/25/2008 2220 SM HW GEN <5 TONS/YR $ 213.00 <br /> 1/25/2008 2244 2008 HAZMAT FEE $ 480.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 717.00 <br /> Payment Due Date 2/27/2008 <br /> i� N ` TOTAL DUE this Billing Period $ 717.0 <br /> YMENT <br /> REGEIV E� <br /> OTIC <br /> FEB 2 $ 2pp8 <br /> W COUNN <br /> SAN SOA pNMENTAENT <br /> HATH pEPARjM <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 />