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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPART -VT Page 1 <br /> 600 E MAIN STREET <br /> STOCKTO <br /> -3420 <br /> INVOICE AccountlD AR0005275 t,, <br /> Facility IDFI A0004838 <br /> Date Printed 1/29/2009 <br /> BROCCHINI FARMS RE : BROCCHINI FARMS <br /> 27011 S AUSTIN RD 27011 S AUSTIN RD <br /> RIPON, CA 95366 RIPON, CA 95366 <br /> OWNER : BROCCHINI FARMS <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0186853---Date of Invoice: 1/29/2009 IIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <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 $ 5.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 10 2009 <br /> SAN JOAQUIN COUNT' <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMEN- <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 /> 52,4 rpt <br />