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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTM T <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> <br /> Account ID AR0016333 <br /> Facility ID FA0009333 <br /> Date Printed 1/24/2005 <br /> C DEJONG TRUCKING INC RE : C DEJONG TRUCKING INC <br /> PO BOX 126 24975 S AUSTIN RD <br /> RIPON, CA 95366 RIPON, CA 95366 <br /> OWNER : C DEJONG TRUCKING INC <br /> Date Health <br /> Proaram Description Amount <br /> Invoice# IN0129003---Date of Invoice : 1/24/2005 I(IIIIII IIIIII III IIIIII IIIII IIIII IIIII VIII VIII IIIII IIIII IIIII IIII IIIIII 111111111 IIII <br /> 1/24/2005 2220 SM HW GEN <5 TONS/YR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 300.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24. <br /> E� 2123/2005 Total for this Invoice $ 524.00Payment Due Date <br /> TOTAL DUE this Billing Period $ 524.00 <br /> PAYMENT <br /> RECEIVED, <br /> FEB 1 5 H65 <br /> SAN JOAQUIN 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 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 /> '_SS rpt <br />