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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0 116439 <br /> LMMMMMONOMMI <br /> Facility ID FA0 00943 <br /> Date Printed 1 2/21/2006 <br /> LMOMMMMMMMOM <br /> CEMEX CONST MATERIALS -FRENCH CAMP RE : CEMEX CONST MATERIALS -FRENCH <br /> 3407 W STUHR RD CAMP <br /> NEWMAN, CA 95360 899 E ROTH RD <br /> FRENCH CAMP, CA 95231 <br /> OWNER : CEMEX CONSTRUCTION MATERIAL LP <br /> Date Health <br /> Program Description Amount <br /> Invoice# I N0142706--Date of Invoice: 1/27/2006 1111111 111111 III VIII VIII VIII VIII VIII VIII VIII VIII VIII 11111111111 <br /> IIII IIII <br /> 1/27/2006 2220 SM HW GEN <5 TONSNR $ 200.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoicel $ 224.00 <br /> Payment Due Date 3111200 <br /> TOTAL DUE this Billing Period $ 224.0 <br /> f�?+ti`i�fi�i•d"Y <br /> RFC1�/`�� <br /> FEB 21 zoo6 <br /> SAN JOADUIN 0OUNI" <br /> ENVIRONMENTAL <br /> HEALTH DEP.o:RTMENT <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 I 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 /> 5254rpt <br />