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...........------ <br /> SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Amount 10 <br /> FacilityiD F—FA0009948 <br /> Date Printed F--1/30—/2012 <br /> LINEWWWOMME001111 <br /> A& A ROSSI HAY SERVICE RE : A&A ROSSI HAY SERVICE <br /> PO BOX 332 511 N AIRPORT WAY <br /> MANTECA, CA 95336 MANTECA, CA 96336 <br /> OWNER : A& A ROSSI HAY SERVICE <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0223449—Date of Invoice: 1/30/2012 IIIIII I III III I VIII IIII VIII VI I III I VII VIII I II VIII II II 1111111111111 <br /> 112712012 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1127/2012 2244 2012 HAZMAT FEE $ 315.00 <br /> 1127/2012 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 112712012 2832 AST FAC 10 K-<1=100 K GAL CUMULATIVE $ 675.00 <br /> 1127/2012 ERSC ELECTRONIC REPORTING STATE SURCHARGE FEE $ 25.00 <br /> Total for Mis Invoice $ 1,252.00 <br /> Payment Due Date 2/2 912 01 2 <br /> TOTAL DUE this $ 1,252.00 <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 OES I HIAMP 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 />