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SAN JOAQUIN COUNTY , <br /> Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTM <br /> If <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account IDAR0017987 <br /> Facility ID FA0010987 <br /> Date Printed <br /> 2/26/2008 <br /> PACIFIC COAST SUPPLY LLC RE : ANDERSON TRUSS <br /> ANDERSON TRUSS 2050 E LOUISE AVE <br /> 4290 ROSEVILLE RD LATHROP, CA 95330 <br /> NORTH HIGHLANDS, CA 95660 <br /> OWNER : PACIFIC COAST SUPPLY LLC <br /> Health <br /> Date Program Description Amount <br /> Invoice# IN0170615---Date of Invoice: 1/25/2008 I IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII IIIII IIIII IIII IIIIII VIII IIII IIII <br /> 1/25/2008 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/25/2008 2244 2008 HAZMAT FEE $ 315.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 552.00 <br /> Payment Due Date 2/27/2008 <br /> TOTAL DUE this Billing Period $ 552.00 <br /> pPCE vED <br /> RE <br /> LO <br /> SAN JOAOvtN COIINN <br /> ENVtRONME TME T <br /> HEALTH DEPAR <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 CES/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 />