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SAN JOAQUIN COUNTY <br /> ENVIRONII;FNTAL HEALTH DEPARTME Page 1 <br /> 304 E WEB.F_R AVE -3RD FLOOR <br /> STOCKrON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD AR0011536 <br /> TC ®®1 Facility ID FA0007464 <br /> Date Printed 1/30/200 <br /> 4 <br /> PERMITS & LICENSES RE : ARCO PRODUCT CO#6313 <br /> ARCO PRODUCT CO #6313 1100 S MAIN ST <br /> 4 CENTERPOINTE DR MANTECA, CA 95337 <br /> LA PALMA, CA 90623 <br /> OWNER : BP WEST COAST PRODUCTS LLC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0143323---Date of Invoice: 1/27/2006 I IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII IIIII IIIII IIII IIIIII VIII IIII IIII <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 270.00 <br /> 1/27/2006 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/27/2006 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/27/2006 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/27/2006 2360 ADDITIONAL UST $ 125.00 <br /> 1/27/2006 2360 ADDITIONAL UST $ 125.00 <br /> 1/27/2006 2362 UST FACILITY& 1 TANK $ 500.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 1,289.00 <br /> Payment Due Date 3/1/2006 <br /> TOTAL DUE this Billing Period $ 289.00 <br /> PAYMENT <br /> RECEIVED <br /> SU1 F'!to <br /> I ''IFjt 6 E-t'2OIIU <br /> 140)2-ggq 1 <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 /> s254.rpt <br />