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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 />INVOICE <br />SPRECKELS SUGAR COMPANY <br />PO BOX 68 <br />MENDOTA, CA 93640 <br />W" <br />APR p $ 2013 <br />ENPERM�� SENVICES t1 <br />Page 1 <br />Account ID <br />AR0005764 <br />Facility ID <br />FA0005302 <br />Date Printed <br />3/28/2013 <br />RE: SPRECKELS SUGAR COMPANY <br />20500 HOLLY QIP.. <br />TjACY, CA 96304 <br />OWNER: SPRECKELS SUGAR CO <br />Date <br />Health <br />Program <br />— -� <br />Description <br />Amount <br />Invoice # IN0235473 -- Date of Invoice : 2/1/2013 <br />11111 11111 IN 111111 11111 1111 1111 <br />2/1/2013 <br />1921 <br />HMBP-Regular-Primary Location <br />$ 360.00 <br />2/1/2013 <br />2220 <br />SM HW GEN <5 TONS/YR <br />$ 213.00 <br />2/1/2013 <br />2399 <br />UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />$ 35.00 <br />Total for this Invoice $ 608.00 <br />Payment Due Date 3/3/2013 <br />TOTAL DUE this Billing Period $ 608.00 <br />Ci AN 2013 �I� <br />! I Lrly <br />�I <br />d <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 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br />5254.rpt <br />