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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT Page 1 1868 E HAZELTON AVENUE STOCKTON, CA 95205 Phone: (209) 468-3420 Account ID AR0048442 INVOICE Return This INVOICE with Your PAYMENT Facility ID FA0025628 Date Printed 11/5/2020 HACKMAN, SCOTT RE : STOCKTON CA JAN 27, 2017 LOCOMOTIVE ARCADIS US INC DIESEL SPILL 101 CREEKSIDE RIDGE CT#200 833 E EIGHTH ST ROSEVILLE, CA 95678 STOCKTON, CA 95206 OWNER : UNION PACIFIC RAILROAD COMPANY Date Health Program Description Amount Invoice# IN0333141 ---Date of Invoice: 12/24/2019 I IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII Hrs Employee 11/8/2019 2903 523-PLAN CHECK(3 hr min) 1.00 WONG $ 152.00 11/12/2019 2903 523-PLAN CHECK(3 hr min) 0.50 WONG $ 76.00 11/20/2019 2903 523-PLAN CHECK(3 hr min) 0.50 WONG $ 76.00 12/4/2019 2903 523-PLAN CHECK(3 hr min) 0.50 WONG $ 76.00 12/4/2019 2903 523-PLAN CHECK(3 hr min) 1.20 WONG $ 182.40 12/13/2019 2903 523-PLAN CHECK(3 hr min) 0.70 WONG $ 106.40 12/24/2019 9999 PAYMENT ($ 912.00) 1/28/2020 2903 523-PLAN CHECK(3 hr min) 0.20 WONG $ 30.40 1/28/2020 2903 523-PLAN CHECK(3 hr min) 0.50 WONG $ 76.00 1/31/2020 2903 523-PLAN CHECK(3 hr min) 0.30 WONG $ 45.60 2/3/2020 2905 313-INSPECTION ACTIVITY 1.00 WONG $ 152.00 2/4/2020 2905 313-INSPECTION ACTIVITY 1.80 KAUR $ 273.60 2/5/2020 2905 313-INSPECTION ACTIVITY 1.50 WONG $ 228.00 2/6/2020 2905 313-INSPECTION ACTIVITY 1.00 WONG $ 152.00 Total for this Invoice $ 714.40 PAST DUE TOTAL DUE this Billing Period $ 714.40 Please make Checks PAYABLE to: 'EHD' Penalties will be added to all Permit Fees For HMBP Fees For all SERVICE FEES 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% 30 Days after the Due Date 60 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter 5254 mt