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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMF,NTAL HEALTH DEPARTMEI <br /> 304 E WEBER AVE - 3RD FLOOR ^+f/ <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0010254 <br /> Facility ID FA0007087 <br /> LMOMMMOOMMMEN <br /> Date Printed 1/26/2007 <br /> BIG VALLEY FORD RE : BIG VALLEY FORD <br /> PO BOX 690398 3282 AUTO CENTER CIR <br /> STOCKTON, CA 95212 STOCKTON, CA 95212 <br /> OWNER : BIG VALLEY FORD <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0156337--Date of Invoice: 1/25/2007 )IIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br /> 1/25/2007 2227 GEN 5<25 TONS PERMIT $ 1,615.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 480.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> �7otal for this Invoice $ 2,119.00 <br /> Payment Due Date 2/25/2007 <br /> TOTAL DUE this Billing Period $ '2,119.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 0 5 2007 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <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 /> ,251 rpt <br />