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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTME� 40Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STO 95202 COPY <br /> Phone:e: (209(209) 46 46 8-3420 <br /> INVOICE AccountlD AR0003514 <br /> Facility ID FA0003922 <br /> Date Printed 1/26/2007 <br /> SCHIPPER, LOOUIS RE : CEMEX AGGREGATE <br /> CEMEX CONSTRUCTION MATERIALS 30350 S TRACY BLVD <br /> 5180 GOLDEN FOOTHILL PARKWAY TRACY, CA 95377 <br /> EL DORADO HILLS, CA 95762 <br /> OWNER : CEMEX CONSTRUCTION MATERIALS <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0156675---Date of Invoice: 1125/2007 llllllllll VIIVII VIII VIII VVIIVII VIIIVIIIIIII VIII 11111'11 <br /> 1/25/2007 2220 SM HW GEN <5 TONS/YR $ 206.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 230.00 <br /> Payment Due Date 2/25/2007 <br /> TOTAL DUE this Billing Period $ 230.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 2 2 2007 <br /> SAN 3OAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> JAN 3 0 2007 <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 DES/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 /> 5254.rpt <br />