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C IV V I rtV1911FIG1\1 ML IIGML.1" VGrM111 IWIGI111 <br /> 600 E MAIN.STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE ,/ Account ID AR0020314 <br /> Facility ID FA0012457 <br /> Date Printed 11/30/2009 <br /> GARZA, DAVID RE : J K AUTOMOTIVE <br /> J K AUTOMOTIVE 710 E YOSEMITE AVE <br /> 710 E YOSEMITE AVE MANTECA, CA 95336-5827 <br /> MANTECA, CA 95336-5827 <br /> OWNER : GARZA, DAVID <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0184550—Date of Invoice: 1/29/2009 11111 11111 11111 11111 HE IN 11111811111111 1111 p1111 11111 IN IN <br /> 1/29/2009 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/29/2009 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 4/15/2009 9994 PERMIT FEE PENALTY $ 213.00 <br /> 7,15/2009 9997 CORRECTION TO A CHARGE ($ 213.00) <br /> Total for this Involca $ 237.00 <br /> PAST DUE <br /> Invoice# IN0194061 —Date of Invoice: 9/24/2009 8111 1111 8111 11111 1111 1111 <br /> 9/24/2009 2244 2009 HAZMAT FEE PLUS 2 YEARS BACK BILLING $ 300.00 <br /> 11/15/2009 9987 Haz Mat Program Penalty Fee $ 30.00 <br /> Total for this Involca $ 330.00 <br /> Payment Due Date 10/24/2009 <br /> TOTAL DUE this Billing Periodi $ 567.00 <br /> PAST DUE <br /> Delinquent charges <br /> will be fomarded ,Lo <br /> in 30 days. <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 />