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SAN JOAQUIN COON I Y Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMEN <br /> 304 E WEBER AVE - 3RD FLOOR ++ <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0009954 <br /> Facility ID F FA0006977 <br /> Date Printed 1/26/2007 <br /> KOMAL BROS INC RE : 76 EXPRESS TIGER NO 1 <br /> 76 EXPRESS TIGER NO 1 5777 S FRENCH CAMP RD <br /> 5777 S FRENCH CAMP RD STOCKTON, CA 95206 <br /> STOCKTON, CA 95206 <br /> OWNER : KOMAL BROS INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0157287---Date of Invoice: 1/25/2007 1111111111111111111111 <br /> 1/25/2007 2227 GEN 5<25 TONS PERMIT $ 1,615.00 <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 $ 15.00 <br /> 1/25/2007 2360 ADDITIONAL UST $ 125.00 <br /> 1/25/2007 2360 ADDITIONAL UST $ 125.00 <br /> 1/25/2007 2362 UST FACILITY& 1 TANK $ 500.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 2,434.00 <br /> PAYMENT Payment Due Date 2/25/2007 <br /> RECEIVED <br /> FEB 2 6 2001 TOTAL DUE this Billing Period 2,434. 0 <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 /> 5254 rpt <br />