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JAN JUAWUIN UUUN I T <br /> ENVIRC1NMEKfAL HEALTH DEPAR*NT Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD AR0005624 <br /> Facility ID FA0005176 <br /> Date Printed 1/28/2008 <br /> SUE GIAMPIETRO RE : FRANZIA WINERY <br /> FRANZIA WINERY 17000 E HWY 120 <br /> 38558 RD 128 RIPON, CA 95366 <br /> CUTLER, CA 93615 <br /> OWNER : THE WINE GROUP LLC <br /> Date Health <br /> Program Description Amount <br /> Invo t#IN0170156--�)ate or invoice: 1/25/2008 IIIIIIIIIII III VIII VIII�II�III�VIII IIIIII VIII IIII'II III (II VIII IIIIIIII <br /> 1/25/2008 2214 CaIARP FAC STATE SURCHARGE FEE $ 270.00 <br /> 1/25/2008 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/25/2008 2244 2008 HAZMAT FEE $ 690.00 <br /> 1125/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1125/2008 9991 Credit Adjustment ($ 0.90) <br /> Total for this Invoice $ 1,196.10 <br /> Payment Due Date 2/27/2008 <br /> TOTAL DUE this Billing Periodr <br /> PAYMENT <br /> RECEIVED <br /> FEB 15 2uu, <br /> '9UIN COUNTY <br /> NVIRO <br /> HEALTH p PARTMENT <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 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% Penaldes will be added at the Rate of 10% <br /> 30 Days after the Due Date 46 Days after the Invoice Date 60 Days after the invoice Date and each 30 Days thereafter <br /> i254,ipt <br />