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JAN JUAUUIN I:UUN I T <br /> ENVIRONMENTAL HEALTH DEPART''—NT Page <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0017634 <br /> Lmonommmmommmi <br /> Facility ID FA0010634 <br /> Lawwwwoommomm <br /> Date Printed 1/29/2009 <br /> LOMMMOMMOREMEMA <br /> WEIBEL INC RE : WEIBEL VINEYARDS <br /> WEIBEL VINEYARDS 1 WINEMASTERS WAY <br /> PO BOX 87 LODI, CA 95240-0860 <br /> WOODBRIDGE, CA 95258 <br /> OWNER : WEIBEL INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0184458---Date of Invoice: 1/29/2009 1111111111111111111 IN 111111111111111111111111111111 IN 1111111111111111111 <br /> 1/29/2009 2220 SM HW GEN <5 TONS/YR S 213.00 <br /> 1/29/2009 2244 2009 HAZMAT FEE S 435.00 <br /> 1/29/2009 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE S 24.00 <br /> Total for this Invoice $ 672.00 <br /> Payment Due Date 2128/2009 <br /> TOTAL DUE this Billing Period $46 00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 6 2009 <br /> SAN JOADUIN OOUNTY <br /> IRONMENTAL <br /> HMTH 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 /> -_�4 rpt <br />