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ENVIRONMENTAL HEALTH DEPARTMENT Page 1 304 E WEBER AVE - 3RD FLOOR STOCKTON, GA 9520 '� 1 t' s�� AccountID AR0003539 FEB � � 1007 b Facility ID FA0003934 ....--l Date Printed 2/5/2007__ SHARI BRIGDON RE : LLNL-SITE 300* LLNL-SITE 300* CORRAL HOLLOW RD PO BOX 808 L-627 TRACY, CA 95376 LIVERMORE, CA 94551-0808 OWNER : U S DEPT OF ENERGY (DOE) Date Health Program Description Amount Invoice# IN0154234---Date of Invoice : 11/17/2006 1111111111 IIII 11111111111 IIII IIII 11/17/2006 4557 MED WASTE LIMITED HAULER $ 72.00 Total for this Invoice $ 72.00 Payment Due Date 12/20/2006 Invoice# IN0156741 ---Date of Invoice : 1/25/2007 I IIIIIII IIIIII III IIIII IIIII IIIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII 1/25/2007 2214 CalARP FAC STATE SURCHARGE FEE $ 270.00 1/25/2007 2229 GEN 50<250 TONS PERMIT $ 2,076.00 1/25/2007 2244 2007 HAZMAT FEE $ 690.00 1/25/2007 2301 UST STATE SURCHARGE FEE $ 15.00 1/25/2007 2301 UST STATE SURCHARGE FEE $ 15.00 1/25/2007 2301 UST STATE SURCHARGE FEE $ 15.00 1/25/2007 2360 ADDITIONAL UST $ 125.00 1/25/2007 2360 ADDITIONAL UST $ 125.00 1/25/2007 2362 UST FACILITY& 1 TANK $ 500.00 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 2/15/2007 9997 CORRECTION TO A CHARGE ($ 24.00) Total for this Invoice $ 3,831.00 Payment Due Date 2/25/2007 TOTAL DUE this Billing Period $ 3,903.00 Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT Penalties will be added to all Permit Fees For OES/HMMP Fees For all SERVICE FEES 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% 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter 5254.rpt