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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> INVOICE A=unt ID AR0029914 <br /> Facility ID F FA0017032 <br /> Date Printed 1/30/2014 <br /> lummommonommommm <br /> LARRY PELLEGRI FARMS RE : LARRY PELLEGRI FARMS <br /> 2307 CALHOUN WAY 6588 W JACOBS RD <br /> STOCKTON, CA 95207-3306 STOCKTON, CA 95206 <br /> OWNER : LARRY PELLEGRI FARMS <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0249439—Date of Invoice: 1 13 012 01 4 IIIIIIIIIIIVII VIIVIIIVI VIII VIIIVIIIIIIIII 111111111 IIII <br /> 1/30/2014 1958 HM-Farm Operations $ 18.00 <br /> 1/30/2014 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/30/2014 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total for this Invoice $ 266.00 <br /> Payment Due Date 3/1/2014 <br /> TOTAL DUE this Billing Period $ 266.00 <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 /> -21 rpt <br />