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SAN JOAQUIN COUNTY PUBLIC`" TH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVnlNIV <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> CORRECTED <br /> INVOICE Account ID AR0010260 <br /> FAD007093 <br /> Facility ID <br /> Date Printed 1 12/15/00 <br /> RE : QUALEX <br /> QUALEX 555 INDUSTRIAL PARK DR <br /> 555 INDUSTRIAL PARK DRIVE MANTECA CA 95336 <br /> MANTECA CA 95336 OWNER: QUALEX <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# ING069791 --Date of Invoice: 4119100 <br /> 6/1/2000 9999 PAYMENT -$10.00 <br /> 7/15/2000 9994 PERMIT FEE PENALTY $2,048.00 <br /> 12115/2000 9997 CORRECTION TO A CHARGE -$4,096.00 <br /> 4/19/2000 2227 GEN 5<25 TONS PERMIT $1,400.00 <br /> 4119/2000 2231 HAZARDOUS WASTE PBR FACILITY $648.00 <br /> 4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> 12/15/2000 2220 SM HWGEN<5TONS/YR (2000 PERMIT FEE) $100.00 <br /> Total for this Invoice $100.00 <br /> PAST DUE <br /> TOTAL DUE this Billing Period 100.00 <br /> Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> enalfieswill be added to all Permit Fees or all SERVICE FEES <br /> at the Rale of 100%of the Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 60 Days afterthe Invoice Date and each 30 thereafter <br /> 5255.rpt <br />