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SANJOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMF T Page 1 <br /> 304 t_ WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0016093 <br /> LEMMOMMOMMEEMN <br /> Facility ID I FA0009093 <br /> Date Printed F 1/30/2006 <br /> CAMPBELL SOUP SUPPLY CO RE : CAMPBELL SOUP SUPPLY CO <br /> PO BOX 31390 760 INDUSTRIAL DR <br /> STOCKTON, CA 95213 STOCKTON, CA 95206 <br /> OWNER : CAMPBELL SOUP CO <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0142565---Date of Invoice : 1/27/2006 IIIIIIII VIVI VIIVII VII VIIIIII III IIIIIIIIIIIIIIVIII IIIIIIII <br /> 1/27/2006 2220 SM HW GEN<5 TONSNR S 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 555.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Inwicel $ 779.00 <br /> Payment Due Date 3/1/2006 <br /> TOTAL DUE this Billing Period $ 779.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 2 7 2006 <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 DES/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 /> ,',a rpt <br />