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JHIV .1UAWUIIV %1UUN I r <br /> ENVIRONMENTAL HEALTH DEPARTI#sT Page 1 <br /> 304 EVIEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0005118 <br /> Facility ID FA0000174 <br /> Date Printed 1/30/2006 <br /> JOE'S TRAVEL PLAZA RE : JOE'S TRAVEL PLAZA <br /> 15600 S HARLAN RD 15600 S HARLAN RD <br /> LATHROP, CA 95330 LATHROP, CA 95330 <br /> OWNER : DHOOT BROS PARTNERSHIP INC <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0143349---Date of Invoice: 1127/2006 IIIIIIIIIIIIIIIIIIIIIIIVIIIVIIVIII IIIIIIIIIIVIIIVIII VIII IIII IIIIIIIIIII IIII IIII <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 270.00 <br /> 1/27/2006 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/27/2006 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/27/2006 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/27/2006 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/27/2006 2360 ADDITIONAL UST $ 125.00 <br /> 1/27/2006 2360 ADDITIONAL UST $ 125.00 <br /> 1/27/2006 2360 ADDITIONAL UST $ 125.00 <br /> 1/27/2006 2362 UST FACILITY& 1 TANK $ 500.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 1,429.00 <br /> Payment Due Date / 6 <br /> I <br /> TOTAL DUE this Billing Period 1,42 . <br /> P/�"yOvi--i,.ri <br /> FEB <br /> SAN JOAQUIN COUNTI' <br /> ENVIRCNMENTAL <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 DES I 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 46 Days after the Invoice Date 60 Days after the Invoice Date an,' each 30 Days thereafter <br /> 5254.rpt <br />