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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTNW Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON,'CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0017987 <br /> Facility ID FA0010987 <br /> Date Printed 4/1/2003 <br /> PACIFIC COAST BUILDING RE : ANDERSON TRUSS <br /> P.O. BOX 160488 2050 E LOUISE AVE <br /> SACRAMENTO, CA 95816-0488 LATHROP, CA 95330 <br /> OWNER : PACIFIC COAST BUILDING PRODCUT <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0103940---Date of Invoice : 2/27/2003 <br /> 2/27/2003 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 2/27/2003 2244 2003 HMMP Annual Fee $ 315.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> Total for this Invoice $ 532.50 <br /> Payment Due Date 3/29/2003 <br /> TOTAL DUE this Billing Period $ 532.50 <br /> PAYMENT <br /> RECEIVED <br /> APR - 1 2003 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DMSMI <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 /> 5255.rpt <br />