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SAN JOAQUIN COUNTY Paye 1 <br /> ENVIRONMENTAL HEALTH DEPARTMF"T <br /> '600 E MAIN STREET .r <br /> STOCKTON, CA 95202 1 COPY <br /> Phone: (209) 468-3420 <br /> INVOICE Amount D R6634292 <br /> Facility ID FA0019278 <br /> Date Printed F 3/31/2010 <br /> A PLUS READY MIX RE : A PLUS READY MIX <br /> 2710 LOOMIS RD 1115 E LOCKEFORD ST <br /> STOCKTON, CA 95205 LODI, CA 95242 <br /> OWNER : ROD LAWLEY <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0200738--Date of Invoice: 2/2/2010 I VIII Illi Ill VIII VIII VIII VIII VIII VIII VIII VIII illi I'll lilll til till IIII <br /> 2/1/2010 2244 2010 HAZMAT FEE $ 390.00 <br /> 2/1/2010 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 2/1/2010 ERSC ELECTRONIC REPORTING SURCHARGE $ 25.00 <br /> 3/20/2010 9987 Haz Mat Program Penalty Fee $ 39.00 <br /> Total for this Invoice $ 478.00 <br /> Payment Due Date 3/4/2010 <br /> TOTAL DUE this Billing Period $ 478.00 <br /> [!4 E . <br /> E)efirlquallt ch .r� e-q <br /> will be fOrWOrc"p—d to <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 />