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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM--'T - - Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0018116 <br /> Facility ID FA0011116 <br /> Date Printed 1/29/2009 <br /> NASCO ELECTRIC SIGN CO LLC RE : NASCO ELECTRIC SIGN CO LLC <br /> 3180 N AD ART RD#C-1 3180 N AD ART RD 1 B-C <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 <br /> OWNER : NAGI ALI <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0185351 ---Date of Invoice : 1/29/2009 I IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII(IIII IIII IIIIII VIII IIII IIII <br /> 1/29/2009 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/29/2009 2244 2009 HAZMAT FEE $ 285.00 <br /> 1/29/2009 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 522.00 <br /> Payment Due Date 2/28/2009 <br /> TOTAL DUE this Billing Period $ 5 <br /> PAYMENT <br /> RECEIVED <br /> FEB 0 6 2009 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALT}-i DEPAR7MENT <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 OES/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 /> 5?j4.rpt <br />