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1• <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMF-"T Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 9 <br /> <br /> <br /> Facility ID FA0010968 111 <br /> Date Printed 2/17/2006 <br /> PPG LODI 0343 /110775 RE : CERTAINTEED CORPORATION-APACHE PL <br /> CERTAINTEED CORPORATION-APACHE PL 300 S BECKMAN RD <br /> PO BOX 6101 LODI, CA 95240 <br /> SOUTHEASTERN, PA 19398 <br /> OWNER : CERTAINTEED CORPORATION <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0143133---Date of Invoice : 1/27/2006 1IN$111111 111 11111 11111 11111 11111 11111 11111 11111 11111 11111 1111 111111 11111 1111 IN <br /> 1/27/2006 2220 SM HW GEN <5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 690.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 914.00 <br /> Payment Due Date 3/1/200¢ <br /> TOTAL DUE this Billing Period $ 914.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 17 2006 <br /> SAN JOAQUIN!:AUNTY <br /> ENVIRONMENTAL <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 /> 5254.rpt <br />