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SAN JOAQUIN COUNTY <br /> Page 1 <br /> ENVIR4SNMENTAL HEALTH DEP TM''"'T <br /> 304 E WEBER AVE -3RD FLOOR <br /> <br /> <br /> Account ID AR0024977 <br /> Facility ID FA0014678 <br /> Date Printed 2/7/2005 <br /> ESFANDIARY, FRE RE : MR CAFE <br /> MR CAFE 713 N EL DORADO ST <br /> 5969 SILVEROAK IR STOCKTON, CA 95202 <br /> STOCKTON, CA 9 219-7187 <br /> OWNER : ESFANDIARY, FRED <br /> Date Health <br /> Program. Description Amount <br /> Invoice# IN0130230---Date of Invoice: 1 24/2005 I IIIIIII llllll III lllll��Nll lull VIII VIII VIII VIII VIII IIII llllll VIII IIII IIII <br /> 1/24/2005 2244 2005 HAZ T FEE $ 85.00 <br /> 1/24/2005 2301 UST STAT SURCHARGE $ 0 <br /> 1/24/2005 2301 UST STAT SURCHARGE $ i 15.00 <br /> 1/24/2005 2301 UST STAT SURCHARGE $' 15.00 <br /> 1/24/2005 2360 ADDITION L UST $ 125.00 <br /> 1/24/2005 2360 ADDITIONAL UST $ 125.00 <br /> 1/24/2005 2362 UST FACILITY& 1 TANK $ 00.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ .00 <br /> Total for this Invoice $ 04.0 <br /> Payment Due Date <br /> Invoice# IN0130539—Date of Invoice: 2 /2005 �lllllllllll�lIIIVIIIVIIIVIIIVIIIIIIIIIIIIIIJ�II�f1h111��Illl(IIII IIIIIIII <br /> 2/7/2005 2220 SM HW GEN<5 TONS/YR $ 2 :00 <br /> Total for this.Involce $ 200.00 <br /> Payment Due➢ate _ 319/ —P <br /> TOTAL DUE this Billing Period $ 14,10 <br /> P, vEp <br /> RECE <br /> FEB <br /> SAN JOAWIN CO ANS` <br /> ENjIR DEPARTMENT <br /> HEALT H <br /> Please make Checks PAY BLE 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 /> 5255.rpt <br />