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SAN JOAQUIN COUNTY <br /> Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 COPY <br /> Account ID AR0017730 <br /> INVOICE <br /> Facility ID FA0010730 <br /> Date Printed 9/27/2019 <br /> SWEETENER PRODUCTS INC RE : SWEETENER PRODUCTS INC <br /> PAM ADAMS 1150 E THURMAN ST <br /> 2050 E. 38TH STREET LODI, CA 95240 <br /> VERNON, CA 90058 <br /> OWNER : ROBERT L SHIPP <br /> Health <br /> Date Program Description Amount <br /> Invoice# IN0327623---Date of Invoice: 9/26/2019 I IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII 111111111 IIII <br /> 9/26/2019 1921 HMBP-Regular-Primary Location $ 415.00 <br /> 9/26/2019 1922 CERS Processing Fee $ 30.00 <br /> 9/26/2019 2220 SM HW GEN<5 TONSNR $ 249.00 <br /> 9/26/2019 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 49.00 <br /> Total for this Invoice $ 743.00 <br /> Payment Due Date 10/27/2019 <br /> TOTAL DUE this Billing Period $ 743.00 <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 HMBP 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 60 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br />