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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMEJ • Page 1 <br /> 304 E 4EBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID —AR-0 00 5594 <br /> LMEMMOMMOOMMA <br /> Facility ID FA0003 222 <br /> LEOMMMMEMEMIM <br /> Date Printed 2/20/2004 <br /> lummommomommma <br /> RMC PACIFIC MATERIALS RE : R M C PACIFIC MATERIALS <br /> PO BOX 5252 30350 S TRACY BLVD <br /> PLEASANTON, CA 94566 TRACY, CA 95377 <br /> OWNER : R M C PACIFIC MATERIALS <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0115785---Date of Invoice: 2/4/2004 <br /> 2/4/2004 2220 SM HW GEN <5 TONS/YR $ 200.00 <br /> 2/4/2004 2244 2004 HAZMAT FEE $ 330.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice I $ 554.00 <br /> Payment Due Date 3/6/2004 <br /> TOTAL DUE this Billing Period $ 54.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 2 0 2004 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <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 /> s2ss.mt <br />