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SAN JUAQUIN CUUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMF"T Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> OPY <br /> INVOICE FEB 6 200 Account ID AR0010443 <br /> Facility ID FA0007174 <br /> Date Printed 1/30/2006 <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 95376 <br /> OWNER : SAN-I-PAK INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0142934---Date of Invoice: 1/27/2006 I1II1II1I111I1IIIVlII VIII VIII IIID VIII VIII VIII VIII 111111111111111 VIII IIII IIII <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 345.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 569.00 <br /> Payment Due Date 3/1/2 <br /> TOTAL DUE this Billing Period $ 569.00 <br /> RECEIVED <br /> FEB 15 ?_OOb FEB <br /> SAN JOAQUIN COUNTY E 1p <br /> 1 5 2006 <br /> ENVIRONMENTAL P O'MMsvr H <br /> HEALTH DEPARTMENT FRM1TIS6R HEA Tf; <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 />