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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTME '- <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID FA00016271 <br /> Facility ID FA0009271 <br /> Date Printed F 2/5/2004 <br /> OAK RIDGE WINERY, LLC RE : OAK RIDGE WINERY, LLC <br /> PO BOX 440 6100 E HWY 12 <br /> LODI, CA 95241 LODI, CA 95241 <br /> OWNER : OAK RIDGE WINERY, LLC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0115595--Date of Invoice: 2/4/2004 <br /> 2/4/2004 2214 CalARP FAC STATE SURCHARGE FEE $ 270.00 <br /> 2/4/2004 2220 SM HW GEN <5 TONSNR S 200.00 <br /> 2/4/2004 2244 2004 HAZMAT FEE $ 480.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoicel $ 974.00 <br /> Payment Due Date 3/6/2004 <br /> TOTAL DUE this Billing Period $ 4.00 <br /> REQ vED <br /> FEB 2 p 2004 <br /> COUNV <br /> SAN 30AOt1tMEtJTAt- <br /> ENVIRON [MFW <br /> HEALTH DEPAR <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 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% 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 /> T' <br />