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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTONT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0004868 <br /> Facility ID FA0002836 <br /> Date Printed 2/9/2017 <br /> STACY PINOLA RE : SAN JOAQUIN DELTA COLLEGE DIST <br /> 5151 PACIFIC AVE 5151 PACIFIC AVE <br /> STOCKTON, CA 95207 STOCKTON,CA 95207 <br /> OWNER : SAN JOAQUIN DELTA COLLEGE <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0285333---Date of Invoice: 11/21/2016 I IIIIIII IIIIII III IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIIIII IIIII IIII IIII <br /> 11/21/2016 4530 LG QUANITY GENERATOR $ 193.00 <br /> Total for this Invoice $ 193.00 <br /> Payment Due Date 12/22/2016 <br /> Invoice# IN0287097---Date of Invoice: 1/26/2017 I IIIIIII IIIIII III IIIII IIIII IIIII IIIII IIIII IIIII 11111111111111111111 IIII IIIIII 111111111 IIII <br /> 1/26/2017 1921 HMBP-Regular-Primary Location $ 704.00 <br /> 1/26/2017 1922 CERS Processing Fee $ 25.00 <br /> 1/26/2017 2247 RCRA GEN 5<25 TONS $ 1,772.00 <br /> 1/26/2017 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> 1/26/2017 APSA APSA SURCHARGE $ 26.00 <br /> Total for this Invoice $ 2,562.00 <br /> Payment Due Date 2/25/2017 <br /> TOTAL DUE this Billing Period $ 2,755.00 <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 HMBP 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 />