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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTM"'T <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Amount to AR0007255 <br /> Facility to FA0006174 <br /> Dale Printed F 1/28/2008 <br /> EARTHGRAINS BAKING CO INC RE : EARTHGRAINS BAKING CO INC <br /> 2651 S AIRPORT WAY 2651 S AIRPORT WAY <br /> STOCKTON, CA 95206-3599 STOCKTON, CA 95206 <br /> OWNER : EARTH GRAINS BAKING CO. <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0170196--Date of Invoice: 112512008 IIIIIIIIIIIIVIII VIIIVIIVIIVIIVIIV VIIVIIIIIIIIIIIVIIIIIIIIII <br /> 1/25/2008 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/25/2008 2244 2008 HAZMAT FEE $ 480.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this lnvolce $ 717.00 <br /> Payment Due Date 2/27/2.008 <br /> TOTAL DUE this Billing Period $ 717 <br /> PAYMENT <br /> RECEIVED <br /> FEB 2 8 2008 <br /> SAN JOAQUIN COUNTY <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 />