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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE RECEIVED MAR 30 200tccountID AR0002554 <br /> Facility ID FA0002992 <br /> Date Printed 3/25/2009 <br /> CCRC FARMS LLC RE : CCRC FARMS LLC 39-100 <br /> CCRC FARMS LLC 39-100 MANDEVILLE ISLAND <br /> PO BOX 248 STOCKTON,CA 95206 <br /> HOLT,CA 95234 <br /> OWNER : CCRC FARMS LLC <br /> Date Health Description Amount <br /> Program —_ pppp <br /> Invoice# IN0188370—Date of Invoice: 3/2412009 IIIIIIIIIIIIIIIII II�'IIIIIIIII�IIIIIIIIINIIIII IIIIIII�IIIIIII IIIIIIIIII IIIIIIIIIIIII <br /> Hrs Employee <br /> 2/23/2009 2755 330-SAMPLING <br /> 2.00 VELOSO-CACAPIT $ 210.00 <br /> Total for this Involcel $ 210.00 <br /> Payment Due Date 4/24/2009 <br /> TOTAL DUE this Billing Pe!IME <br /> $ 210.00 <br /> RECEIVED <br /> APR 1 6 Z009 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <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 Penalties will be added at the Rate of 10% <br /> at the Rate of 100%of the Base Fee 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 />