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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTN T <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID ARO017470 <br /> LMMOOMMMMMM <br /> Facility ID FA001()470 <br /> LONEEMEMOMMEMA <br /> Date PAnted 2/24/2005 <br /> ELEGANT SURFACES RE : ELEGANT SURFACES <br /> 551 CARNEGIE ST 551 CARNEGIE ST <br /> MANTECA, CA 95337 MANTECA, CA 95337 <br /> OWNER : POLIMENO, JOHN <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0128318---Date of Invoice : 1/24/2005 IIIIII IIVIVII VIII VIII VIVIIIVII VIII VIIIIIII IIIIIIIIIIIII <br /> 1/24/2005 2220 SM HW GEN <5 TONSNR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 300.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 524.00 <br /> Payment Due Date 2123/2005 <br /> TOTAL DUE this Billing Period $ 524.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 2 3 2005 <br /> SAN JOAQUIN COUNV <br /> ENVHEALTH 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 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 /> :_iirpt <br />