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SAN JUAOUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTN' T Page 1 <br /> 304 E WEBER AVE - 3RD FLOOR <br /> PTO e: ON,(209 46 95202 COP' T <br /> Phone: (209) 468-3420 Y <br /> INVOICE Account ID AR0000195 <br /> Facility ID FA0000196 <br /> Date Printed 1/30/2006 <br /> LODI UNIFIED SCHOOL DIST RE : LODI USD-TOKAY HIGH SCHOOL <br /> 1305 E VINE ST 1111 CENTURY BLVD <br /> LODI, CA 95240 LODI, CA 95240 <br /> OWNER : LODI UNIFIED SCHOOL DIST <br /> Date Health — I <br /> ?rngram Description it <br /> Amount <br /> Invoice# IN01 43594--Date of Invoice : 1127/2006 11111111 EIIII III IIIII IIE 11111111111111111111111111111111111 IN 11111111111111 IN <br /> 1/27/2006 2220 SM HW GEN <5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 285.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 509.00 <br /> Payment Due Date 311/2006 <br /> TOTAL DUE this Billing Period $ .509.00 <br /> Z�7 <br /> MAR (12 2006 <br /> SAN JOAQUIp1 COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEP.ARrMENT <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 the <br /> ;2j4 rpt <br />