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SAIF JOAOUIN COUNTY Page 1 <br /> s,ENVIRONMENTAL HEALTH DEP*ENT <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> Phone: 209-468-3420 <br /> INVOICE Account ID I AR0017987 <br /> Facility ID FA0010987 <br /> Date Printed 3/1/2002 <br /> PACIFIC COAST BUILDING PRODUCT RE : ANDERSON TRUSS <br /> ANDERSON TRUSS 2050 E LOUISE AVE <br /> PO BOX 160488 LATHROP CA 95330 20 <br /> SACRAMENTO CA 95816-0488 <br /> OWNER: PACIFIC COAST BUILDING PRODCUT <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0092350---Date of Invoice: 1/22/2002 <br /> 1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $17.50 <br /> 1/22/2002 2220 SM HW GEN<5 TONS/YR $200.00 <br /> Total for .Invoice $217.50 <br /> Payment Due Date /7/2Q02 <br /> TOTAL DUE this Billing Period $217.50 <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 all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> L <br /> r,AAR y "/I►I�i <br /> Si+N JOAt, <br /> 5255.rpt <br />