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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Phone: (209) 468-3420 <br />INVOICE <br />S PELLEGRI & SONS <br />8074 W DELTA RD <br />TRACY, CA 95304 <br />" - 'A4- � <br />Page 1 <br />Account ID �AR0030296 <br />Facility ID FA0017414 <br />Date Printed 2/2/2016 <br />RE: S PELLEGRI & SONS <br />8074 W DELTA RD <br />TRACY, CA 95304 <br />OWNER: S PELLEGRI & SONS <br />Date Health <br />r)csrriotinn Amount <br />Invoice # IN0276317 --- Date of Invoice : 2/2/2016 <br />2/2/2016 1958 HM -Farm Operations <br />2/2/2016 2220 SM HW GEN <5 TONS/YR <br />2/2/2016 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />I IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII <br />VIII IIII <br />$ <br />IIIIII VIII IIII IIII <br />18.00 <br />$ <br />213.00 <br />$ <br />35.00 <br />Total for this Invoice I <br />$ <br />266.00 <br />Payment Due Date <br />3/312016 <br />TOTAL DUE this Billing Period <br />$ <br />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 wilt 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 thereafi l <br />254.mt <br />