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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMF7"T Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0003312 <br /> Facility ID FA0003733 <br /> Date Printed2/28/2006 <br /> NORTH SIDE SHELL* RE : NORTH SIDE SHELL* <br /> 7910 LOWER SACRAMENTO RD 7910 LOWER SACRAMENTO RD <br /> STOCKTON, CA 95210 STOCKTON, CA 95210 <br /> OWNER : SHELL OIL PRODUCTS US <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0143276---Date of Invoice : 1/27/2006 �1$ET E 11111�1111 11111�1111 11E 11111 11111 11111 11111 1111 111111 11111 11 IN <br /> 1/27/2006 2220 SM HW GEN <5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 115.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 339.00 <br /> Payment Due Date 3/1/ <br /> TOTAL DUE this Billing Period $ 339.00 <br /> uTICE r <br /> �D <br /> SAN��qR U 9 Zoos <br /> �/y�U'iQV/A!- <br /> y�CTy Aa E[V rAt <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 /> 52>d.rpt <br />