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SAN,IOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPAR7*T / Page 1 <br /> 314 E WEBER AVE -3RD FLOOR <br /> S OCKTON, CA 95202 j <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR 0005624 <br /> Facility lD F FA0 00 1176 <br /> Date Printed F 2/27/2003 <br /> THE WINE GROUP LLC RE : FRANZIA WINERY' <br /> 17000 E HWY 120 17000 E HWY 120 <br /> RIPON, CA 95366 RIPON, CA 95366 <br /> OWNER : FRANZIA WINERY LLC <br /> Date Health <br /> I Program Description _ ,^ Amount <br /> Invoice# IN0103408—Date of Invoice: 2/2712003 <br /> 2/27/2003 2214 CaIARP FAC STATE SURCHARGE FEE $ 200.00 <br /> 2/27/2003 2220 SM HVV GEN<5 TONS/YR $ 200.00 <br /> 2/27/2003 2244 2003 HMMP Annual Fee $ 660.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> Total forthis Invoice $ 1,077.50 <br /> Payment Due Date 312912003 <br /> TOTAL DUE this Billing Period $ 1,077.50 <br /> PAYMENT <br /> RECEIVED <br /> MDR 1 2 2003 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <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 all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5255.rpt <br />