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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTl 'T Page 1 <br /> 3C4 'E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD AR0016775 <br /> LMNWMWMMWMMNEA <br /> Facility ID FA0009775 <br /> LVNMNMMEMMEmd <br /> Date Printed F 2/27/2003 <br /> CONCRETE INC. (LODI AVENUE) RE : CONCRETE INC - STKN-STANISLAUS <br /> P.O. BOX 66001 749 S STANISLAUS ST <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 <br /> OWNER : KNIFE RIVER COAL MINING <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0103584---Date of Invoice: 2/27/2003 <br /> 2/27/2003 2220 SM HW GEN<5 TONSIYR $ 200.00 <br /> 2/27/2003 2244 2003 HMMP Annual Fee $ 360.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> Total for this Invoice $ 577.50 <br /> Payment Due Date 3/29/2003 <br /> TOTAL DUE this Billing Period $ 577.50 <br /> PAYMENT <br /> RECEIVED <br /> MAR 2 6 2003 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERMCES <br /> ENVIRONMENTAL HEALTH DMSION <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 Days thereafter <br /> :25;rpt <br />