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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTA i 304 E WEBER AVE - 3RD FLOOR ~ STOCKTON, CA 98202 Phone: (209)"468-3420 INVOICE CALIFORNIA SPRAY DRY CO - Page 1 Account ID AR0006891 LUMMEMOMEMMMEN Facility ID FA0005940 Date Printed F 5/24/2004 RE: CALIFORNIA SPRAY DRY CO' 4221 E MARIPOSA RD STOCKTON, CA 95215 OWNER: MODESTO TALLOW COMPANY Date 111 Health Program Description Amour; In&t0l�lll@I�VllIl11�1VE fi111 Invoice# IN01 15587 — Date of Invoice : 2/4/2004 S 270.00 2/4/2004 2214 CalARP FAC STATE SURCHARGE FEE $ 200.00 2/4/2004 2220 SM HW GEN <5 TONS/YR $ 645.00 2/4/2004 2244 2004 HAZMAT FEE $ 24.00 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 6-4'50 3/21/2004 9987 Haz Mat Program Penalty Fee $ 200.00 4/15/2004 9994 PERMIT FEE PENALTY ($ 1'139 OC) 5/11/2004 9999 PAYMENT Total for this Invoice $ 264.50 ! AST [)UE! I—% PAST DUE Y()UF1 WOULD TOTAL DUE this Billing Period $ 264.50 NE pAV; Nrjc%zT TCOAY! ,OUR NALVH PERMI`+ Far l THE CURRENT YEAR WILL. NOT t3E isSUED UNT!L PAARDPAID IN DUE E PAYMENT RECEIVED JUN 12004 SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT PAST D Ld "-". Delinquent charges will be forwarded to COLLECTIONS in N days. Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT For all SERVICE FEES Penalties will of added to all Permit Fees For be a / ed at Fees Penalties will be added at the Rate of 10 % at the Rate of after % of the Base Fee Penalties will a added n the Rate of 10 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter