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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL H LTH DE ARTi. _AT <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 1 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0003569 <br /> FacHity ID FA0003957 <br /> ' ) <br /> Date Printed 1/31/2011 <br /> AT&T ENVIRON HEALTY&SAFETY11A /� RE : AT&T (LODI) <br /> AT&T(LODI) 124 W ELM ST - '" <br /> 4. LODI, CA 95240 <br /> 2600 CAMINO RAMON,3E000 OWNER : AT&T CALIFORNIA <br /> SAN RAMON,CA 94583 <br /> Date Health <br /> _-- Program --Description Amount <br /> Invoice « IN0211686---Date oflnvoic 1/3112011 I11111IRlgMIm111111011111111111INDIIII1111111H1111 <br /> 1/28/2011 2220 SM H GEN<5 TONS/YR $ 213.00 <br /> 1/28/2011 2244 2011 H MAT FEE $ 270.00 <br /> 1/28/2011 2301 UST S ATE SURCHARGE FEE $ 15.00 <br /> 1/28/2011 2362 UST F CILITY& 1 TANK $ 550.00 <br /> 1/28/2011 2399 LIN 1E PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1/28/2011 ERSC ELECT ONIC REPORTING SURCHARGE $ 25.00 <br /> Total torthis Invoice $ 1,097.00 <br /> Payment Due Date 3/2/2011 <br /> TOTAL DUE this Billing Period $ 1,097.00 <br /> _ PAYMENT <br /> ( � p� o2o to 000E RECEIVED <br /> FEB 2 8 2011 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> i_,AUQ`i DEPARTME.'._r rrl <br /> FEB 0 8 1011 <br /> M <br /> M <br /> a <br /> M <br /> co <br /> o <br /> 00 <br /> N <br /> O <br /> r <br /> r <br /> Please mak Checks AYABLE 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 /> 52is.r� <br />