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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTI" T Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID ARo028812 <br /> Facility ID FFA0016i7 <br /> LOMEWOMMMMMA <br /> Date Printed 1 1/28/2008 <br /> STOCKTON INDUSTRIAL SUPPLY INC RE : STOCKTON INDUSTRIAL SUPPLY <br /> 536 S AURORA ST 336 S AURORA ST <br /> STOCKTON, CA 95203 STOCKTON, CA 95205 <br /> OWNER : SCOTT, MICHAEL D <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0172078---Date of Invoice: 1/25/2008 1111 111111 11111 1111 IN <br /> 1/25/2008 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/25/2008 2244 2008 HAZMAT FEE $ 115.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 352.00 <br /> Payment Due Date 2/27/2008 <br /> TOTAL DUE this Billing Period $ 352.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 21 2ou6 <br /> SAN JOAOUIN 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 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 /> 5254.rpt <br />