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SAN Jk)AQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM T Page 1 <br /> 304 E WEBER AVE -3RD FLOOR ' <br /> STOCKTON, CA 95202 <br /> <br /> <br /> VOICE AccountlD AR0003539 <br /> Facility ID FA0003934 <br /> Date Printed 2/7/2006 111 <br /> WROMMUMMME <br /> EARL THOMAS RE : LLNL-SITE 300' <br /> LLNL-SITE 300* CORRAL HOLLOW RD <br /> PO BOX 808 L-627 TRACY, CA 95376 <br /> LIVERMORE, CA 94551-0808 <br /> OWNER : UNIVERSITY OF CALIFORNIA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0142889---Date of Invoice: 1/27/2006 11111 1111 111111 11111 IN IN <br /> 1/27/2006 2214 CalARP FAC STATE SURCHARGE FEE $ 270.00 <br /> 1/27/2006 2229 GEN 50<250 TONS PERMIT $ 2,016.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 690.00 <br /> 1/27/2006 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/27/2006 2301 UST STATE SURCHARGE FEE $ 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 /> 2/15/2006 9997 CORRECTION TO A CHARGE ($ 24.00) <br /> Total for this Invoice $ 3,771.00 <br /> Payment Due Date <br /> TOTAL DUE this Billing Period $ j3,771.00 <br /> FEB 2 8 2006 <br /> SAN EF <br /> • �.`B � 5 2006 u <br /> G� <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 />