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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPART T <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, <br /> <br /> ID AR0017909 <br /> Facility ID FA0010909 <br /> Date Printed 3/7/2005 <br /> CRAIG VEVODA RE : HUMBOLT CREAMERY ASSN <br /> HUMBOLT CREAMERY ASSN 1270 SHAW RD <br /> 572 HWY 1 STOCKTON, CA 95215 <br /> FORTUNA, CA 95540 <br /> OWNER : HUMBOLT CREAMERY INC <br /> Health <br /> Date Program Description Amount <br /> Invoice# IN01 31165—Date of Invoice: 31712005 1111111111 IN 1111111111111111111 <br /> 3!712005 2221 USED OIL ONLY-<5 TONS/YR $ 50.00 <br /> Total for this Invoice $ 50.00 <br /> Payment Due Date 416/2005 <br /> TOTAL DUE this Billing Period $ ;50.00 <br /> Ni <br /> R 6 ,�p05 <br /> R r <br /> P <br /> SP�N�OPOONMEN�MEtIt <br /> NVtP QEpPP <br /> N��SH <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%, 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 /> 5255.rpt <br />