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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Phone: (209) 468-3420 <br />Page 1 <br />INVOICE <br />Account ID <br />Facility ID <br />Date Printed <br />AR0001109 <br />FA0001111 <br />9/27/2019 I <br />MARCHINI, RON <br />MARCHESOTTI FARMS 39-15 <br />P.O. BOX 298 <br />FRENCH CAMP RD., CA 95231 <br />RE: MARCHESOTTI FARMS 39-15 <br />2945 E FRENCH CAMP RD <br />MANTECA, CA 95336-9215 <br />OWNER: JOE MARCHESOTTI CO. INC. <br />Date Health <br />Program Description Amount <br />Invoice # IN0326106 --- Date of Invoice: 9/26/2019 <br /> <br />11111101111111111110111111111111111011111111011111111111lIllEn <br />9/26/2019 1922 CERS Processing Fee $ 30.00 <br />9/26/2019 1958 HM-Farm Operations $ 22.00 <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 />9/26/2019 APSA APSA SURCHARGE $ 26.00 <br />Total for this Invoice 376.00 <br /> <br />Payment Due Date 10/27/2019 <br /> <br />TOTAL DUE this Billing Period $ 376.00 <br /> <br />/Pfink_.-%11-LrY 2,0-0 rAeitio 04A/YuLz . <br />g-tprN otA/ciL-:-,-L-; <br />(2-0A) <br /> <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% <br /> 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 />5254.rpt