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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMO • Page 1 304 E WEBER AVE - 3RD FLOOR STOCKTON, CA 95202 Phone: (209)468-3420 INVOICE AccountlD AR0 0091 44 Facility ID FA0006733 LEMEMMMMEMMMI Date Printed 1/30/2006 RUPINDER PADDA & HOSHIAN SODHI RE : GEORGES BP MINI MART GEORGES BP MINI MART 18662 N HWY 88 OWNER : PADDA, RUPINDER/SODHI,HOSHIAN Date Health Program Description Amount Invoice# IN0142363---Date of Invoice: 112412006 1111111111111111111111111 IN IIIIII IIIII HII IN 1/24/2006 1615 RETAIL MKT<2000 SQ FT (PREPKGD/LTD PREP) $ 170.00 / Total for this Invoice $ 170.00 _ ' Payment Due Date 3/1/2006 Invoice# IN0143365---Date of Invoice: 1/2712006 ( � (IIIIII IIIIII III VIII VIII VIII VIII VIII VIII IIIIIIIIIIIIII VIII III IIIIII VIIIIIIIIIII 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 200.00 1/27/2006 2244 2006 HAZMAT FEE $ 100.00 1/27/2006 2301 UST STATE SURCHARGE FEE $ 15.00 1/27/2006 2301 UST STATE SURCHARGE FEE $ 15.00 1/27/2006 2301 UST STATE SURCHARGE FEE $ 15.00 1/27/2006 2301 UST STATE SURCHARGE FEE $ 15.00 1/27/2006 2360 ADDITIONAL UST $ 125.00 1/27/2006 2360 ADDITIONAL UST $ 125.00 1/27/2006 2360 ADDITIONAL UST $ 125.00 1/27/2006 2362 UST FACILITY&1 TANK $ 500.00 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 Total for this Invoice $ 1,259.00✓/ Payment Due Date 3/11 6 TOTAL DUE this Billing Period $ ,429.00, 2 j 2006 �hw'.L•aOUIP;LOU Elv'VgiONIV A� HEALTH r EIJT -)EP4RTMEN7 Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT Penalties will be added to all Permit Fees For DES/HMMP Fees For all SERVICE FEES 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% 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter 5254.rpt