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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMW • <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0017342 <br /> Facility ID FA0010342 <br /> LUMMENEWAMMMMIll <br /> Date Printed 1/30/2006 <br /> <br /> <br /> MANTECA, CA 95337 <br /> OWNER : FRANCES LEE <br /> Date Health <br /> i Pmnram Description Amount <br /> Invoice# IN0143007—Date of Invoice: 112712006 IIIIIIIIIII VIIIVIIVIIIVIIVIVIIVII VIIVIIIIIIIIIIIVIIIIIIIII <br /> 1/27/2006 2220 SM HW GEN<5 TONSNR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 255.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 479.00 <br /> Payment Due Date 6 <br /> TOTAL DUE this Billlin�g Period $ 479.00 <br /> PAYMENT �i <br /> RECEIVED F��QVIED <br /> FEB 15 zoos FEB 1 20p6 <br /> SAN JOAQUIN COUNTY EPJV�RO,N <br /> ENVIRONMENTAL PERIL s�'r I A5 Ty <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 /> 5254.rpt <br />