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S/W JOAQUIN COUNTY 1+0, Page 1 <br /> EK IRONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> INVOICE Amount ID AR0017986 <br /> Facility ID F FA0010986 <br /> Date Printed 2/28/2013 <br /> OLDCASTLE PRECAST RE : OLDCASTLE PRECAST <br /> PO BOX 608 15540 S MCKINLEY RD <br /> AUBURN,WA 98071 LATHROP, CA 95330 <br /> OWNER : OLDCASTLE PRECAST INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0236605---Date of Invoice: 2/1/2013 1 MIT 111111111111111111111111111111111111111111111111111111 IN11111111111 IN IN <br /> 2/1/2013 1921 HMBP-Regular-Primary Location $ 675.00 <br /> 2/1/2013 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 2/1/2013 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total for this Invoice $ 923.00 <br /> Payment Due Date 313/2013 <br /> TOTAL DUE this Billing Period $ 923.00 <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 HMBP 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 />