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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTh f <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Phone: (209) 468-3420 <br />INVOICE <br />'ter � 1 IS7 rr7 t <br />TEIXEIRA DAIRY <br />2455 NAGLEE.RD� <br />TRACY, CA 95304 <br />` Page 1 <br />Account ID <br />AR0029928 <br />Facility ID <br />213.00 <br />FA0017046 <br />Date Printed <br />2/20/2013 <br />RE: TEIXEIRA DAIRY <br />21150 MT HOUSE PKWY <br />TRACY, CA 95304 <br />OWNER: TEIXEIRA DAIRY <br />Date Health <br />Program Description Amount <br />Invoice # IN0237368 --- Date of Invoice : 2/1/2013 <br />2/1/2013 1958 HM -Farm Operations <br />2/1/2013 2220 SM HW GEN <5 TONS/YR <br />2/1/2013 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />1111111111111IIIVlII (IIII VIII VIII VIIIVIIIVIII VIII IIIII1111111111 <br />$ <br />VIII IIII IIII <br />18.00 <br />$ <br />213.00 <br />$ <br />35.00 <br />Total for this Invoice $ 266.00 <br />Payment Due Date 3/3/2013 <br />TOTAL DUE this Billing Period $ 266.00 <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 thereafte <br />5254.rpt <br />