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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E HAZELTON AVENUE STOCKTON, CA 95205 Phone: (209) 468-3420 INVOICE Account ID Return This INVOICE with Your PAYMENT Facility ID Date Printed OWNER: Chevron Extra Mile Page 1 AR0008432 FA0006443 5/13/2025 Date Health Program Description Amount Invoice # IN0384444 --- Date of Invoice : 9/25/2023 9/25/2023 1921 HMBP-Regular-Primary Location 9/25/2023 1922 CERS Processing Fee 9/25/2023 2220 SM HW GEN <5 TONS/YR 9/25/2023 2301 UST STATE SURCHARGE FEE 9/25/2023 2301 UST STATE SURCHARGE FEE 9/25/2023 2301 UST STATE SURCHARGE FEE 9/25/2023 2301 UST STATE SURCHARGE FEE 9/25/2023 2360 UST - PER TANK FEE 9/25/2023 2360 UST - PER TANK FEE 9/25/2023 2360 UST - PER TANK FEE 9/25/2023 2360 UST - PER TANK FEE 9/25/2023 2361 UST FACILITY 9/25/2023 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE PAST DUE! Deliquent charges over 90 days! *IN03844443096.00* PR0520756 $426.00 PR0520756 $30.00 PR0521578 $298.00 TA0189705 $20.00 TA0189706 $20.00 TA0189707 $20.00 TA0189708 $20.00 TA0189708 $250.00 TA0189707 $250.00 TA0189706 $250.00 TA0189705 $250.00 PR0231897 $1,178.00 $84.00 Total for this Invoice $3,096.00 Payment Due Date 10/30/2023 TOTAL DUE this Billing Period $ 3,096.00 Please make Checks PAYABLE to: 'EHD' or Pay online at: 'haps://www.sigov.org/department/envhealth/fees/online-fee-payment' Penalties will be added to all Permit Fees For HMBP Fees For all SERVICE FEES 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% 30 Days after the Due Date 60 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter 5254.rpt End of report