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r <br /> SAN JOAQUIN COUNTY PUBLIC' ALTH SERVICES Page 1 <br /> ✓ ENVIRONMENTAL HEALTH DION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account ID AR0003614 <br /> FA0003922 <br /> Facility ID <br /> Date Printed 2113101 <br /> RE : R M C PACIFIC MATERIALS* <br /> R M C PACIFIC MATERIALS 30350 S TRACY BLVD <br /> PO BOX 5252 TRACY CA 95376 <br /> PLEASANTON CA 94566 <br /> OWNER: R M C PACIFIC MATERIALS <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0079492---Date of Invoice: 1130/01 <br /> 1/30/2001 2220 SM HW GEN<5 TONSNR $100.00 <br /> 1/3012001 2399 UNIFIED PROGRAM FAG STATE SERVICE FEE $10.00 <br /> Total for this Invoice V1"0;00 <br /> Payment Due Date 312/2001 <br /> TOTAL DUE this Billing Period $110.00 <br /> Please make Cheeks PAYABLE to: PHS/EHD 1 Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties wi e added to all Permit Fees For all SERVICE <br /> at the Rate of 100%of the Base Fee Penalties wi[I 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 /> ct„V1y+ <br /> 5255.rpt <br />