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Page 1 <br /> JAN JVAWUIN I:VUN I T ' <br /> ENVIRONMENTAL HEALTH DEPART <br /> 304 E WEBER AVE-3RD FLOOR COPY <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0003299 <br /> Facility ID FA0003720 <br /> Date Printed 1/26/2007 <br /> SURINDER SINGH SAINI RE : CHEVRON #92033' <br /> CHEVRON #92033* 508 W CHARTER WAY <br /> 508 W CHARTER WAY STOCKTON, CA 95206 <br /> STOCKTON, CA 95206 OWNER : SAINI, SURINDER SINGH <br /> Health Amount <br /> Date Program Description <br /> Invoice# IN0157260--Date of Invoice: 1/25/2007 II111II1I111I11II1III111II VIII VIII VIII VIII VIII VIII VIII VIII IIII 111111111111111 IIII <br /> $ 206.00 <br /> 1/25/2007 2220 SM HW GEN<5 TONS/YR $ 55.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 15.00 <br /> 1/25/2007 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/25/2007 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/25/2007 2301 UST STATE SURCHARGE FEE $ 125.00 <br /> 1/25/2007 2360 ADDITIONAL UST $ 125.00 <br /> 1/25/2007 2360 ADDITIONAL UST $ 500.00 <br /> 1/25/2007 2362 UST FACILITY&1 TANK $ 24.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br /> Tgtalforthislnvoice $ 1,110.00 <br /> Payment Due Date 212512007 <br /> TOTAL DUE this Billing Period $ 1,110.00 <br /> i <br /> R��M�ED <br /> MAR 5 <br /> &AIV UOq 200/ <br /> EIVV c'1 <br /> NE1L7Y '' 'MECCNN7Y <br /> N�EPgR'6 <br /> rr <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> For all SERVICE FEES <br /> Penalties will be added to all Permit Fees For OES!HMMP Fees Penalties will be added at the Rate of 10% <br /> at the Rate of 100°/of the Base Fee Penalties will be added at the Rate of 10% 60 Das after the Invoice Date and each 30 Days thereafter <br /> 30 Days after the Due Date 45 Days after the Invoice Date Y <br /> 5254.rpt <br />