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ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 304 E WEBER AVE -3RD FLOOR C ���1 1 <br /> STOCKTON, CA 95202 �D <br /> Phone: (209) 468-3420 JUN —2 2006 <br /> INVOICE CFFICEOFEMERCENCYSERVICES Account 10 AR0016508 <br /> Facility ll) FA0009508 <br /> Date Printed 5/23/2006 <br /> BONNIE L BERNEISER RE : GUARANTEE REPAIR SERVICE <br /> GUARANTEE REPAIR SERVICE 101 COMMERCE ST <br /> PO BOX 246 LODI, CA 95240 <br /> VICTOR, CA 95253-0246 <br /> OWNER : BONNIE 13ERNEISER <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0142735---Date of Invoice: 1/27/2006 11111111 ITT 1111111111111111111111111111 JI 111111111111111 IN IIIIII 111111111111 <br /> 1/27/2006 2220 SM HW GEN <5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 315.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 3/15/2006 9987 Haz Mat Program Penalty Fee $ 31.50 <br /> 4/15/2006 9994 PERMIT FEE PENALTY $ 200.00 <br /> Total for this Involve $ 770.50 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 770.50 <br /> m <br /> , <br /> 11.00 tji to <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 /> i254.rpt <br />