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SAN JOAQUIN COUNTY PUBLIC HEALTH SERV CES <br /> ENVIRONMENTAL HEALTH pIpN Report 115255 <br /> 304 E' WEBER AVENUE — 3RIT FLOOR Cement Printed : 02f25f99 <br /> STOCKTON , CA 95202 <br /> Accounting Office : 209 468--3420 <br /> TO : GEOLOGICAL TECHNICS INC <br /> 2741 RIVER RD #Account 0 015055 <br /> MODESTO , CA 95351 � <br /> ATTN : RAY KABLANOW <br /> [7Faciility <br /> ID 008031 <br /> RE . FORTIFIBER <br /> 501 E ACACIA ST" <br /> STOCKTON <br /> PLEASE RETURN a COPY of THI$ STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> gate Description Hrs Employee Amount <br /> Invoice # 053364 -- Date of Invoice: 12/17/98 <br /> 12/14 /98 PAYMENT $-234 . 00 <br /> 12/14/98 2950 REPORT REVIEW 1 . 5 OZ $117 . 00 <br /> 12/15/98. 2950 REPORT REVIEW 1 . 0 OZ $78 . 00 <br /> 12/18/98 2950 FIELD CONSULT 1 . 5 DUNCAN $117 . 00 ' <br /> 12/18/98 2950 REPORT REVIEW 0 . 5 DUNCAN $39 . 00 , <br /> 12/22/98 2950 CONSULTATION 0 . 5 OZ $39 . 00 <br /> 01 /04 /99 2950 REPORT REVIEW 1 . 5 OZ $117 . 00 <br /> 01/07/99 2950 FIELD CONSULT 0 . 5 OZ $39 . 00 <br /> 01/22/99 2950 REPORT REVIEW 1 . 0 OZ $7 00 <br /> ____________----__—__—_____ — <br /> Total for this invoice: '3Yuv $39�:0 <br /> Payment DUE DATE 0 15`/9 <br /> If this INVOICE has been Paid, Please Disregard this Notice <br /> A`MEN't <br /> C E,I V E <br /> MAR 15 1999 <br /> SAN JOAQUIN COUNTY <br /> Forall SERVI%JJ %--B ICES <br /> Penalties will be added on all Permits be added at the rate'o 16E 60 ays <br /> at the rate of 106E of the Base Fee 36 past invoice date and each 30 days <br /> days after the due date. thereafter. <br /> TOTAL DIIIE this Billi4Xeriod: $3-3-0:0.0 <br /> Please make Checks PAYABLE to: PHS/EHD <br />