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600 E MAIN STREET <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209) 468-3420 RECEIVED <br /> INVOICE Account ID AR0017162 <br /> LMOMMMMOMMOMA <br /> 1 J'', i o3 Zit <br /> 151 Facility ID FA0010162 <br /> SAN JOAQUIN COUNTY <br /> OFFICE OF EMERGENCY SERVICES Date Printed 5/26/2011 <br /> Loommmmmommomm <br /> MARTIN, WADE RE : OFF ROAD ENTERPRISES <br /> 2953 CHERRYLAND AVE #B 2953 CHERRYLAND AVE B <br /> STOCKTON, CA 95215-2233 STOCKTON, CA 95215 <br /> OWNER : MARTIN, WADE <br /> Health <br /> Date Program Description Amount <br /> Invoice# IN0211028.—Date of Invoice: 1/31/2011 I IIIIII I IIII III VIII VIII I III ILII VIII VII III IIII VII IIII I IIII ILII IIII IIII <br /> 1/28/2011 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/28/2011 2244 2011 HAZMAT FEE $ 285.00 <br /> 1/282011 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1/28/2011 ERSC ELECTRONIC REPORTING STATE SURCHARGE FEE $ 25.00 <br /> 3/20/2011 9987 Haz Mat Program Penalty Fee $ 28.50 <br /> 4/15/2011 9994 PERMIT FEE PENALTY $ 213.00 <br /> Total for this Im,,ce $ 788.50 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 788.50 <br /> �et'In�;t.�Prt wilarges <br /> v4ill beryYo �j 5- <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 DES/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 /> 5254.rpt <br />