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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMhv'r ./ Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> Account ID AR0042068 <br /> INVOICE <br /> Facility ID FA0022943 <br /> Date Printed 175/20/2015 <br /> PACIFIC AGRILANDS, INC. RE : PACIFIC AGRILANDS, INC. <br /> ERNEST DOSIO 16121 LIBERTY RD <br /> 5206 HAMMETT ROAD GALT, CA 95632 <br /> MODESTO, CA 95366 <br /> OWNER: RJM VINEYARDS, LLC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0266185---Date of Invoice: 5/2012015 IIIIIIIIIIIII III IIIIIIIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIIIIIII 111111 IIIIIIIIIIIII <br /> 5/20/2015 1958 HM-Farm Operations $ 18.00 <br /> 5/20/2015 2220 SM HV/GEN<5 TONSNR $ 213.00 <br /> 5/20/2015 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total for this Invoice $ 266.00 <br /> Payment Due Date 6/19/2015 <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 /> 5754 mt <br />