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w v <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 Account ID 7R00t7933 <br /> FacilitylD FA0010933 <br /> Date Printed 3/28/2012 <br /> CONTINENTAL MUFFLER RE : CONTINENTAL MUFFLER <br /> 230 E LODI AVE 230 E LODI AVE <br /> LODI, CA 95240 LODI, CA 95240 <br /> OWNER : OSORIO, HECTOR <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0223653...Date of Invoice: 1/30/2012 111111111 IN <br /> 1/27/2012 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/27/2012 2244 2012 HAZMAT FEE $ 100.00 <br /> 1/27/2012 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1/27/2012 ERSC ELECTRONIC REPORTING STATE SURCHARGE FEE $ 25.00 <br /> 2/16/2012 9999 PAYMENT ($ 38.98) <br /> Total for this Invoice $ 323.02 <br /> Payment Due Date 2/28/2012 <br /> TOTAL DUE this Billing Period $ 323.02 <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 I 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 />