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SAN JOAQUIN GUUNTY <br /> ENVIRONMENTAL HEALTH DEPA TME Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209)468-3420 � <br /> INVOICE Account ID ! /jR0014728 <br /> Facility ID FA0007952 <br /> Date Printed 2/28/2006 <br /> MARTINI A TO RE : MARTINI AUTO <br /> 4032 N EL DORAD ST 4032 N ELDORADO ST <br /> STOCKTON, CA 9 204 STOCKTON, CA 95204 <br /> OWNER : MARTINI'S AUTOMOTIVE <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0143088---Date of Invoice: 1 27/2006 1 1111111 111111 III VIII VIII VIII IIIII IIIII VIII VIII IIIII IIIII IIII 11111111111 IIII IIII <br /> 1/27/2006 2220 SM HW GE <5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZM T FEE $ 100.00 <br /> 1/27/2006 2399. UNIFIED P OGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 324.00 <br /> Payment Due Date 3/1/2006 <br /> TOTAL DUE this Billing Period $ 4.00 <br /> SECCN TACE <br /> �1Arr 1 0 2006 <br /> SAN jOAQUir/cour� <br /> ENVIRTY <br /> ONMENTAL <br /> fiEALTF/DERARTMENT <br /> Please make Checks PAY ABLE 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 />