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ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 COPY <br /> INVOICE Account ID AR0023864 <br /> FacilityID FA0014111 <br /> Date Printed 1/26/2007 <br /> SINGH, KULWINDER RE : TRACY PETRO INC <br /> TRACY PETRO INC 3400 MACARTHUR DR <br /> 3400 MACARTHUR DR TRACY, CA 95377 <br /> TRACY, CA 95376 <br /> OWNER : SINGH, KULWINDER <br /> Date Health <br /> Program Description <br /> Amount <br /> invoice# IN0156447—Date of Invoice: 1/25/2007 I���II�I�III�I�II11111HE11111111111111111111111111111111111111111111111111111111111IN <br /> 1/25/2007 2220 SM HW GEN<5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 265.00 <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 $ 1,310.00 <br /> Payment Due Date 2/25/2007 <br /> TOTAL DUE this Billing Period $ 1 310.00 <br /> r <br /> PAYMENT <br /> RECEIVED <br /> FEB - 6 2007 <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 />