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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTP 'T <br /> 304 E WEBER AVE -3RD FLOOR __ -✓ <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0007255 <br /> Facility ID FA 0006174 <br /> LMONONMmmffmmmmd <br /> Date Printed 1/24/2005 <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# IN0129110—Date of Invoice : 112412005 IIIIIIIIIIIII III VIII VIII VIII VIII VIII VIII VIII VIIIIII IIII IIIIII VIII IIII IIII <br /> 1/24/2005 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 480.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 704.00 <br /> Payment Due Date 2123/2005 <br /> TOTAL DUE this Billing Period $ j 704.00 <br /> P EG�N�O <br /> 3Op,C10 <br /> NPP, ECSt <br /> 5���CN�EP <br /> N <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 I 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 /> s255.rpt <br />