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Page 1 SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENIt — 304 E WEBER AVE - 3RD FLOOR STOCKTON, CA 95202 Phone: (209) 468-3420 AR0027525 INVOICE Account ID Facility 10 FA0015834 Date Printed 2/25/2005 E : ISAAC'S PROPERTY INLAND PROPERTY HOLDING R1903 N STANFORD LN 5380 WEST LANE STE C STOCKTON, CA 95205 STOCKTON, CA 95210 OWNER : INLAND PROPERTY HOLDING A Health mount Date Program Description IIIIIIIIIIIIII 111111111111111 IN invoice IN0127558—Date of Invoice: 12/2812004 IIIIIIIIIIIIII III VIII VIII VIII VIII VIII VIII VIII VIII $ 15,00 12/2812004 2301 UST STATE SURCHARGE $ 500.00 12/2812004 2362 UST FACILITY 8 1 TANK $ 24.00 12/28/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 170.00 12/28/2004 9900 UST TANK FEES $ 500.00 12/28/2004 9900 UST TANK FEES $ 500.00 12/28/2004 9900 UST TANK FEES $ 500.00 12/28/2004 9900 UST TANK FEES $ 500.00 12/28/2004 9900 UST TANK FEES $ 500.00 12/2812004 9904 UST PENALTIES(TANK) $ 500.00 12/28/2004 9904 UST PENALTIES(TANK) $ 170.00 12/28/2004 9904 UST PENALTIES(TANK) $ 500.00 12/28/2004 9904 UST PENALTIES(TANK) $ 500.00 12/28/2004 9904 UST PENALTIES(TANK) $ 500.00 12/28/2004 9904 UST PENALTIES(TANK) Total for this Invoice $ 5,379.00 Payment Due Date 112712005 TOTAL DUE this Billing Period -NE WOULD APPRECIATE YOUP PAYnAENT TODAY! PAYMENT RECEIVEC MAR - 4 /u, I SAN JOAQUIN ENVIRO!-'' HEALTH Ul,1-hl, Please make Checks PAYABLE to: 'EHD' – Return a Copy of This STATEMENT with Your PAYMENT For OES I HMMP Fees For all SERVICE FEES Penalties will be added to all Permit Fees penalties will be added at the Ftate of 10% at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% 60 Days after the Invoice Date and eacl 30 Days thereafter 30 Days after the Due Date 45 Days after the Invoice Date Y 5255.rpt