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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> <br /> <br /> Facility ID FA0006443 <br /> Return This INVOICE with Your PAYMENT <br /> Date Printed 5/13/2025 <br /> John Khan RE : Chevron Extra Mile <br /> Elite Fuels 2 Corp 2375 N TRACY BLVD <br /> 62375 N TRACY BLVD TRACY,CA 95376 <br /> TRACY, CA 95376 <br /> OWNER : Chevron Extra Mile <br /> I IIIIIII II I IIII IIIII IIIII IIIII IIIII IIIII IIIII III IIII <br /> Health <br /> Date Due Invoice No Program Description Amount Outstanding <br /> Record# PR0231897-BILLING-032825-1 <br /> 3/28/2025 5/30/2025 5012530 EH_OS Oversight Surcharge PR0231897-BILLING-032825-1 $104.00 <br /> 3/28/2025 5/30/2025 5012530 2301 UST STATE SURCHARGE FEE PR0231897-BILLING-032825-1 $80.00 <br /> 3/28/2025 5/30/2025 5012530 TECH Technology Fee PR0231897-BILLING-032825-1 $15.00 <br /> 3/28/2025 5/30/2025 5012530 2360 UST-PER TANK FEE PR0231897-BILLING-032825-1 $1032.00 <br /> 3/28/2025 5/30/2025 5012530 2361 UST FACILITY PR0231897-BILLING-032825-1 $1204.00 <br /> Total for this Record $2,435.00 <br /> Record# PRO520756-BILLING-032825-1 <br /> 3/28/2025 5/30/2025 5009076 1921 HMBP-Regular-Primary Location PRO520756-BILLING-032825-1 $327.00 <br /> 3/28/2025 5/30/2025 5009076 1922 CERS Processing Fee PRO520756-BILLING-032825-1 $40.00 <br /> 3/28/2025 5/30/2025 5009076 1929 HMBP-Supplemental Chemical PR0520756-BILLING-032825-1 $120.00 <br /> Total for this Record $487.00 <br /> Record# PRO521578-BILLING-032825-1 <br /> 3/28/2025 5/30/2025 5011082 2220 SM HW GEN<5 TONS/YR PR0521578-BILLING-032825-1 $310.00 <br /> Total for this Record $310.00 <br /> TOTAL DUE this Billing Period $3,232.00 <br /> Please make Checks PAYABLE to: 'EHD'or <br /> Pay online at:'https://permits.smgoy.org' <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 60 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days <br /> thereafter <br /> 5254.rpt End of report <br />