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ENVIRONMENTAL HEALTH DEPARTMENT 304 E WEBER AVE - 3RD FLOOR STOCKTON, CA 95202 Phone: (209) 468-3420 INVOICE Page 1 COPY Account ID AR0003337 Facility ID FA0003758 Date Printed 1/30/2006 RE: RYDER TRUCK* 3633 DUCK CREEK DR STOCKTON, CA 95215 OWNER: RYDER TRUCK Date Health Program Description Amount Invoice # IN0142766 -- Date of Invoice : 1/27/2006 1/27/2006 2227 GEN 5<25 TONS PERMIT 1/27/2006 2244 2006 HAZMAT FEE 1/27/2006 2301 UST STATE SURCHARGE FEE 1/27/2006 2301 UST STATE SURCHARGE FEE 1/27/2006 2301 UST STATE SURCHARGE FEE 1/27/2006 2301 UST STATE SURCHARGE FEE 1/27/2006 2360 ADDITIONAL UST 1/27/2006 2360 ADDITIONAL UST 1/27/2006 2360 ADDITIONAL UST 1/27/2006 2362 UST FACILITY & 1 TANK 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE I (IIIIII (IIII I III VIII VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII $ IIIIII VIII IIII IIII 1,568.00 $ 390.00 $ 15.00 $ 15.00 $ 15.00 $ 15.00 $ 125.00 $ 125.00 $ 125.00 $ 500.00 $ 24.00 Total for this Invoice $ 2,917.00 Payment Due Date4/2,917.0 00 TOTAL DUE this Billing Period $ sqN JoN / '00 h y��T /0� FNC 1141- Please FNT Please make Checks PAYABLE to: 'EHD' - Return a Copy of This STATEMENT with Your PAYMENT Penalties will be added to all Permit Fees For DES / 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 thereafte i254.rpt