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ENVIRONMENTAL HEALTH DEPARTMENT rays <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> <br /> 4655 <br /> Facility ID FA0019492 <br /> Date Printed 2/10/2009 <br /> FRANZIA, BRIAN RE : WEST COAST GRAPE FARMING <br /> WEST COAST GRAPE FARMING 18293 E AVENA RD <br /> PO BOX 488 ESCALON, CA 95320-9542 <br /> CERES, CA 95307 <br /> OWNER : FRANZIA, BRIAN <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0187325---Date of Invoice: 2/10/2009 11111 1111 111111 11111 1111 IN <br /> 2/10/2009 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 2/10/2009 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 237.00 <br /> Payment Due Date 3/12/2009 <br /> TOTAL DUE this Billing Period $ 237.00 <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 /> 5254.rpt <br />