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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> AMENDED <br /> INVOICE Account 10 AR0017541 <br /> Facility ID F—FA 0-0 005 11 <br /> IMEMMUMMMMMEEM <br /> Date Printed2/13/2015 <br /> RIVERSIDE CEMENT COMPANY RE : RIVERSIDE CEMENT <br /> PO BOX 146 2845 W WASHINGTON ST <br /> ORO GRANDE, CA 92368 STOCKTON, CA 95203 <br /> OWNER : RIVERSIDE CEMENT COMPANY <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0261426--Date of Invoice: 1/29/2015 IIIIIIIIIIIIIIIVIIVIII VIIIIIIIIIVIIIVIIVIIIIIIIIIIVIIIIIIII <br /> 1/29/2015 1921 HMBP-Regular-Primary Location $ 345.00 <br /> 1/29/2015 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total for this Invoice $ 380.00 <br /> Payment Due Date 2/28/2015 <br /> Invoice# IN0264065--Date ofInvoice: 2113/2015 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> 2/13/2015 2220 SM HW GEN<5 TONSNR $ 213.00 <br /> Total for this Invoice I $ 213.00 <br /> Payment Due Date 3/15/2015 <br /> TOTAL DUE this Billing Period $ 593.00 <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 HMBP 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 />