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SAN JOAC, AN COUNTY <br /> Page 1 <br /> ENVIRONM:=NTAL HEALTH DEPARTP <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0002554 <br /> Facility ID FA0002992 <br /> Date Printed 5/24 2004 <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 /> Health <br /> 1, t mount <br /> Nrogram Cascrpticr __. <br /> Invoice# IN0121126—Date of Invoice: 5/19/2004 <br /> Hrs Employee <br /> 4/26/2004 2755 330-SAMPLING 1.00 NAIDU S °3.00 <br /> Total for this Invoice $ 93.00 <br /> Payment Due Date 6/23/2004 <br /> TOTAL DUE this Billing Period $ 93.00 <br /> PAYMENT <br /> RECEIVED <br /> JUN 14 2004 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATI-WENT 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 />