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SAN JOAQUIN COUNTY <br /> Page <br /> ENVIRONMENTAL HEALTH DEPARTMF" ' <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE <br /> <br /> <br /> ON 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# IN0170932—Date of Invoice: 1/25/2008 IIIIIIIIIIVIIIIIIIVIIVIIVII VIIVIVIIIIIIIIII VIII IIIIII <br /> 1/25/2008 2214 CaIARP FAC STATE SURCHARGE FEE $ 270.00 <br /> 1/25/2008 2221 USED OIL ONLY-<5 TONS/YR $ 54.00 <br /> 1/25/2008 2244 2008 HAZMAT FEE $ 600.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE S 24.00 <br /> Total for th is Invoice $ 946.00 <br /> Payment Due Date 2/27/2008 <br /> TOTAL DUE this Billing Period $ 948.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 112008 <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 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 /> 5254.rpt <br />