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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTM <br /> 304 E WEBER A%'E -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Ac=unt ID AR0016486 <br /> Facility ID FA0009486 <br /> Da'e Printed 2/5/2004 <br /> FTG CONSTRUCTION MATERIALS INC RE : FTG CONSTRUCTION MATERIALS INC <br /> PO BOX 1508 915 ANDERSON ST <br /> LODI, CA 95241-1508 STOCKTON, CA 95206 <br /> OWNER : ANTHONY ALEGRE <br /> Health Amount <br /> Hare Program Descrp5cn <br /> Invoice# IN0115685--Date of Invoice: 2/412004 <br /> 2/4/2004 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> $ 300.00 <br /> 2/4/2004 2244 2004 HAZMAT FEE <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for tris Invoice $ 524.00 <br /> Payment Due Date 3/6/2004 <br /> TOTAL DUE this Billing Period $ 524.00 <br /> PAY MEN� <br /> RECE 1\/F.G <br /> LIAR � 2004 <br /> SAN JUAD►tN"Aa COUNTY <br /> ENVIFl0 <br /> HEALTH DEPARTMENT <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 /> 5255.rpt <br />