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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTM' <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD AR0007255 <br /> LEMEEMMEMMEMA <br /> Facility ID FA 0-0617 <br /> LMMMMMMEWWWWWA <br /> Date Printed 4/23/2003 <br /> EARTHGRAINS BAKING CO INC THE 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 /> Prooram Description _ _ Amount <br /> Invoice# IN0103449—Date of Invoice: 2127/2003 <br /> 2/27/2003 2220 SM HW GEN<5 TONSIYR $ 200.00 <br /> 2/27/2003 2244 PACT TRANSFER RECORD-OES $ 510.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> 3/27/2003 9999 PAYMENT ($ 217.50) <br /> 4/15/2003 9987 Haz Mat Program Penalty Fee $ 51.00 <br /> 4/24/2003 9999 PAYMENT ($ 510.00) <br /> Total for this Invoice $ 51.00 <br /> Payment Due Date 3129/2003 <br /> TOTAL DUE this Billing Period $ 51.00 j <br /> ATTkNJ'ION <br /> YOUR HEALTH PERMIT FOF. <br /> THE CUPRENT YEAR <br /> WILL NOT BE ISSUED UNTIL <br /> PAST -,UE AMOUNTS <br /> ARE PAID IN FULL <br /> RECEIVED <br /> 7 2003 <br /> ENsftONONTAIat THEARHOE`tON <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 1 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 /> 5255.rpt <br />