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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTNjr-NT <br />600 E MAIN STREET <br />STOCKTON, CA 95202 <br />Phone: (209) 468-3420 <br />INVOICE <br />MAINLAND NURSERY INC <br />PO BOX 1030 <br />WOODBRIDGE, CA 95258 <br />Page 1 <br />Account ID <br />AR0004071 <br />Facility ID <br />FA0004389 <br />Date Printed <br />1/31/2011 <br />RE: MAINLAND NURSERY INC <br />50 W TURNER RD <br />LODI, CA 95240 <br />OWNER: MAINLAND NURSERY INC <br />Date <br />Health <br />Program <br />Description <br />Amount <br />Invoice # IN0211216 --- Date <br />of Invoice :1131 /2011 11111 111 <br />11111 11111 1 IN 11111 11111 11111 11111 11111 11111 1111 <br />111111 11111 1111 1111 <br />1/28/2011 <br />2399 <br />UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />$ <br />24.00 <br />1/28/2011 <br />2832 <br />AST FAC 10 K - </=100 K GAL CUMULATIVE <br />$ <br />675.00 <br />1/28/2011 <br />ERSC <br />ELECTRONIC REPORTING SURCHARGE <br />$ <br />25.00 <br />Totalforthis Invoice $ <br />Payment Due Date <br />TOTAL DUE this Billing Period $ <br />Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br />724.00 <br />siu�un <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 thereafte <br />5354.rpt <br />