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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E TOZ, CA AVENUE ® ' <br /> STOCKTONCA 95205 11� <br /> VED <br /> Phone: (209)468-3420 <br /> AMENDED FEB 2 6 2Q15 <br /> Account ID AR0037878 ? <br /> INVOICE ENP,qM �SEF? E LTy <br /> Facility l0 FA0021048 .] <br /> Date Printed F 2/6/2015 1 <br /> SILVA, ANN TRUST RE : BACCHETTI &SILVA FARM <br /> BACCHETTI &SILVA FARM 18700 S BACCHETTI RD <br /> 18700 S BACCHETTI RD TRACY, CA 95304 <br /> TRACY, CA 95304 <br /> OWNER : SILVA, ANN TRUST <br /> Date Health <br /> Program Description <br /> Amount <br /> invoice# IN0263254--Date of Invoice: 1/29/2015 IIIIIIIIIIII VIII VIIVIII VIIIIIIIIIIIIIIIIIIVIII IIII IIIIII VIIIIIIIIIII <br /> 1/29/2015 1958 HM-Farm Operations $ 18.00 <br /> 1/29/2015 2220 SM HW GEN<5 TONSNR $ 213.00 <br /> 1/29/2015 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total for this Invoice $ 266.00 <br /> Payment Due Date 2/28/2015 <br /> invoice# IN0263699--Date ofInvoice: 2/5/2015 111111111111111111111111111 <br /> 215/2015 2/5/2015 APSA APSA SURCHARGE $ 26.00 <br /> Total forth is Invoice $ 26.00 <br /> S �]�c Payment Due Date 3/8/2015 <br /> 11G N 1,)� °v t TOTAL DUE this Billing Period $ 292.00 <br /> ✓�I� � � l,Jovd� <br /> l D700J 4qcd -f(i' - <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 /> i254.rpt <br />