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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPART 'T Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0002554-1 <br /> Facility ID FA0002992 <br /> Date Printed 8/15/2005 <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 <br /> Program Description Amount <br /> Invoice# IN0135648---Date of Invoice: 7/22/2005 I IIIIIII IIIIII III IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIIIII IIIII IIII IIII <br /> Hrs Employee <br /> 6/7/2005 2755 330-SAMPLING 1.00 NAIDU $ 93.00 <br /> Total for this Invoice $ 93.00 <br /> Payment Due Date 8/24/2005 <br /> TOTAL DUE this Billing Period $ 93.00 <br /> PAYMENT <br /> RECEIVED <br /> AUG 15 Z005 <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 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 /> 5255.rpt <br />