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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTOT • Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0003356 <br /> Facility ID F FA0003776 <br /> Date Printed F 3/27/2007 <br /> SINGH, SUKH RE : TOKAY SHELL* <br /> TOKAY SHELL* 420 W KETTLEMAN LN <br /> <br /> <br /> OWNER : SINGH, SUKH <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0156916—Date of Invoice: 1/25/2007 ����������������������������������������� 11111111111111111111 IN 111111111111111 IN <br /> 1/25/2007 2220 SM HW GEN<5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 130.00 <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 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 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 /> 3/15/2007 9987 Haz Mat Program Penalty Fee $ 13.00 <br /> Total for this Invoice $ 1,446,00 <br /> Payment Due Date 07 <br /> TOTAL DUE this Billing Period 1,448.0 <br /> p MENT <br /> [� <br /> f AST r t''u � ! RECCIVED <br /> WE WOULD APPRECIATE YOUR 2001 <br /> PAYMENT TODAY! APR 1 1 <br /> SAN JOAQUIN COUNTENVIFONMENIALY <br /> HEALTH DEPARTMENT <br /> V � <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/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 />