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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMll`:NIT Page 1 <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> <br /> ount ID AR0003291 <br /> Facility ID FA0003712 <br /> Date Printed 1/26/2007 <br /> CHEVRON PRODUCTS USA RE : CHEVRON STATION #94275* <br /> CHEVRON STATION #94275* 2905 W BENJAMIN HOLT DR <br /> PO BOX 6004/ 1-2375-133 STOCKTON, CA 95207 <br /> SAN RAMON, CA 94583 <br /> OWNER : CHEVRON PRODUCTS USA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0157078--Date of Invoice : 1/25/2007 11111 111111 H 11111 11111 11111 11111 11111 11111 11111 11111 11111 11111 1111 111111 11111 1111 1111 <br /> 1/25/2007 2220 SM HW GEN <5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 390.00 <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 2350 ADDITIONAL UST-2481 COMPLIANT $ 125.00 <br /> 1/25/2007 2350 ADDITIONAL UST-2481 COMPLIANT $ 125.00 <br /> 1/25/2007 2352 UST FACILITY& 1 TANK-2481 COMPLIANT $ 500.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 1,415.00 <br /> Payment Due Date i /2 007 <br /> TOTAL DUE this Billing Period $ 11,41540 <br /> -9EC ENT <br /> FEB 0 9 2007' <br /> SAN JO QUIN COUNT, <br /> HEALTH Nti1ENT4L <br /> 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 /> �2�4 rpt <br />