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SAN JOAQUIN COUNTY <br /> Page 1 <br /> ENVIRONMENTAL HEALTH DEPA"T Rp <br /> 304 E WEBER AVE -3RD FLOOR G E <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 FEB - 1 2006 <br /> Account to AR0016474 <br /> INVOICE CITY OF LODI <br /> MUNICIPAL SERVICE CENTER <br /> FacilityID FA0009474 <br /> <br /> INEMMEEMMMOMWAA <br /> WHITE SLOUGH WATER POLLUTION CNTRL RE : WHITE SLOUGH WATER POLLUTION CNTRL <br /> 1331 S HAM LN 12751 N THORNTON RD <br /> LODI, CA 95242 LODI, CA 95242 <br /> OWNER : CITY OF LODI <br /> Date Health <br /> Program Description Amount <br /> Invoice# INg14324 -Date of Invoice �1/27/2006� IIIIIIT 111111111111111111111111111111111111111111 V IIIIIIII VIII IIIIIIII <br /> 1/27/2006 2220 SM HW GEN <5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE S 285.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE S 24.00 <br /> Total for this Invoicel $ 509.00 <br /> Payment Due Date 31�' <br /> TOTAL DUE this Billing Period $ 509 0 ' <br /> PAYMENT <br /> RECEIVED <br /> FEB 21 2006 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> RECEIVED <br /> FEB - 3 2006 <br /> ACCOUNTING <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 I 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 />