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0AN JOAUUIN LIUUN r t Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTM'"IT <br /> 304 E WEBER AVE - 3RD FLOOR �► <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0008233 <br /> Facility ID F FA0003769 <br /> Date Printed F 1/26/2007 <br /> Losommmoommmomms <br /> TERESI TRUCKING INC RE : TERESI TRUCKING INC <br /> <br /> LODI, CA 95240 <br /> OWNER : TERESI, JOHN <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0156424---Date ofInvoice: 1/25/2007 11111111E1pp1p1p11p1p111p11111p111p1pp1p11111p1p1111p11p111p11IN <br /> 1/25/2007 2220 SM HW GEN<5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 390.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice I $ 620.00 <br /> Payment Due Date 2/25/2007 <br /> TOTAL DUE this Billing Period $ 620.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 0 5 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 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 /> ;?s4 rpt <br />