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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM� 'T P` <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> <br /> 22 <br /> Facility ID FA00 00422 <br /> Date Printed2/15/2006 <br /> FARMINGTON FRESH SALES LLC RE : FARMINGTON FRESH SALES LLC <br /> 7735 S HWY 99 W FRONTAGE RD 7735 S HWY 99 W FRONTAGE RD <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 <br /> OWNER : FARMINGTON FRESH LLC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0143478...Date of Invoice: 1/27/2006 VIII IIIIII V/VI VIIIVI VIIIVIIIVIVIIVII/IIIIII VIII/////III <br /> 1/27/2006 2214 CalARP FAC STATE SURCHARGE FEE $ 270.00 <br /> 1/27/2006 2221 USED OIL ONLY-<5 TONS/YR $ 50.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 570.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total forthis Invoice $ 914.00 <br /> Payment Due Date /1/ <br /> TOTAL DUE this Billing Period $ 914.00 <br /> FEB � a <br /> $AN <br /> 6 ROt11i1"OUNI;. <br /> IEpLTI-/?oa'EmrAL <br /> MFNT <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 DES/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 /> i2i4.rpt <br />