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ENVIRONMENTAL HEALTH DEPARTMEPIT Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 1111110 <br /> Phone: (209) 468-3420 COPY <br /> INVOICE Account ID AR0000380 <br /> Facility ID FA0000381 <br /> Date Printed 7/28/2009 <br /> lanomommmommmi <br /> LICENSING RE : RITE AID #6000 <br /> RITE AID#6000 520 W LODI AVE <br /> <br /> <br /> OWNER : THRIFTY PAYLESS, INC <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0192268---Date of invoice: 7/27/2009 IIII II III I IIIVII VIII VIII VIII VIII IIIII VIII IIIIIJill IIIIIIIIIIIIIIIIIII <br /> Hrs Employee <br /> 6/22/2009 2222 306-FOLLOW UP FOR NON-COMPLIANCE 0.50 CACAPIT $ 52.50 <br /> I Total for this Invoice $ 52.50 <br /> Payment Due Date 8/27/2009 <br /> TOTAL DUE this Billing Period $ 52.50 <br /> PAYMENT <br /> RECEIVED (� <br /> StuStu J 4 LP D D C) SEP 2 1 2009 <br /> V SAN JOAQUIN COUNTYENVIRONMENTAL <br /> ' <br /> HEALTH DEPARTMENT <br /> vm� <br /> ,(AAA JVLMJC; <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 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 /> 5254 rpt <br />