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JAN JUAUUIN I,.UUN 1 T <br /> ENVIRONMENTAL HEALTH DEPARTIll Page 1 <br /> 304 E WEBER AVE -3RD FLOOR ! • <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0003293 1111 <br /> Facility ID FA0003714 <br /> LMMENNOMMMUME <br /> Date Printed 1/26/2007 <br /> LACHHAR, MOHINDER 8, INDERJIT RE : LACHHAR CHEVRON* <br /> LACHHAR CHEVRON` 334 E MAIN ST <br /> 1486 PALAZZO LN RIPON, CA 95366 <br /> MANTECA, CA 95337 <br /> OWNER : LACHHAR, MOHINDER S & INDERJIT <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IND156572---Date of invoice: 1/25/2007 11111 HE 111111111111111 IN 111111111111111 IN <br /> 1/25/2007 2220 SM HW GEN <5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 145.00 <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 /> PAYMENT Total for thislnvoice $ 1,170.00 <br /> RECEIVED <br /> Payment Due Date 2/25/20 <br /> FEB 2 6 200 TOTAL DUE this Billing Period $ 1,170.0 <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 /> r <br /> will be added to all Permit Fees For DES/HMMP Fees For all SERVICE FEES <br /> 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 /> 0 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 />