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1 <br /> SAN JOAOUIN COUNTY PUBL' LTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DI v tsION 40 <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209-468-3420 <br /> INVOICE <br /> LUNRIWWWWOOMMwill <br /> FA0009635 <br /> Facility ID <br /> Date Printed F-71/-31101 <br /> ROGER HOFFDAHL RE : CORN PRODUCTS INTERNATIONAL <br /> CORN PRODUCTS INTERNATIONAL INC 1021 INDUSTRIAL DR <br /> PO BOX 6129 STOCKTON CA 952060120 <br /> STOCKTON CA 9520601 OWNER: CORN PRODUCTS <br /> Health <br /> Date Progrsm Description Hrs Employee Amount <br /> Invoice# ING000013—Date of Invoice: 1130/01 <br /> 1/30/2001 2220 SM HW GEN<5 TONS/YR $100.00 <br /> 1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date 21200 <br /> TOTAL DUE this Billing Period $110.00 <br /> Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYMEN <br /> Penalties will be added to all Permit Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10 <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> PAYMENT <br /> RECEIVED <br /> FEB 2 2 2001 <br /> I rouNrY <br /> �i nvlcFS <br /> r 1r1 iH DIVISION <br /> 5255.rpt <br />