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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM f Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 952 <br /> <br /> AccountlD AR0029828 <br /> Facility ID FA0016946 <br /> Date Printed 1/29/2009 <br /> ROORDA RANCHES INC RE : ROORDA RANCHES INC <br /> 25926 S AUSTIN RD 25400 S AUSTIN RD <br /> RIPON, CA 95366 RIPON, CA 95366 <br /> OWNER : ROORDA RANCHES INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0186168---Date of Invoice: 1/29/2009 11111 11111 11111 11111 11111 HE 1111 111111 11111 1111 1111 <br /> 1/29/2009 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/29/2009 2223 AGRICULTURAL HAZ MAT STORAGE FACILITY $ 18.00 <br /> 1/29/2009 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 255.00 <br /> Payment Due Date 2/28/2009 <br /> TOTAL DUE this Billing Period $ 255.0 <br /> PA-f IV <br /> p.r LVED <br /> FEB 0 6 2009 <br /> SA ENVI RONMEI`1TAL <br /> HEALTH DEPARTMENT <br /> Vy <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/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 /> 52i4.rpt <br />