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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMW ' Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD AR0016439 <br /> Facility ID FA0009439 <br /> LEMEMENNOMMMMA <br /> Date Printed 3/10/2008 <br /> SCHIPPER, LOUIS RE : CEMEX CONST MATERIALS - FRENCH <br /> CEMEX CONST MATERIALS -FRENCH CAMP CAMP <br /> 5180 GOLDEN FOOTHILL PARKWAY 899 E ROTH RD <br /> ELDORADO HILLS, CA 95762 FRENCH CAMP, CA 95231 <br /> OWNER : CEMEX CONSTRUCTION MATERIAL LP <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0170205--Date of Invoice: 1/25/2008 111111111111111111111111 IN <br /> 1/25/2008 2220 SM HW GEN <5 TONS/YR $ 213.00 <br /> 1/25/2008 2244 2008 HAZMAT FEE $ 420.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total forth is Invoice $ 657.00 <br /> Payment Due Date 2/27/2008 <br /> TOTAL DUE this Billing Period I $ 657.00 <br /> 6 <br /> PAYMENT <br /> RECEIVED <br /> MAR 10 2008 <br /> SAN JOAQUIN COUNTY <br /> Hs1SH DEPARTM NT <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 OES/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 />