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JAN JUAUUIN L;UUN I Y <br /> ENVIRONMENTAL HEALTH DEPARTM' Page 1 <br /> M <br /> 304 E WEBER AVE -3RD FLOOR <br /> <br /> (209) 468-3420 <br /> INVOICE AccountlD I AR0010443 <br /> Facility ID FA0007174 <br /> Date Printed 1/26/2007 <br /> SAN-I-PAK INC RE : SAN-I-PAK INC <br /> PO BOX 1183 23535 S BIRD RD <br /> TRACY, CA 95378-1183 TRACY, CA 95304 <br /> OWNER : SAN-I-PAK INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0156784---Date of Invoice : 1/25/2007 I(IIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br /> 1/25/2007 2220 SM HW GEN<5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 345.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 575.00 <br /> Payment Due Date 2/25/20 7 <br /> TOTAL DUE this Billing Period $ 575.0 <br /> PA`(MENT <br /> RECENED <br /> FEB 1 4 2001 <br /> SAN JOAOUIN COUNTY <br /> ENVIRONMENTAL <br /> NE.ALTH 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 />