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SAN, JOAQUIN COU'A.1Y PUBLIC HEALTH SERVICES Report #5255 <br /> " ENVIRONMENTAL 4"ALTH DIVISI Stat t Printed : 01 /29 /99 <br /> 304 } &-WEBER AVENUE - 3RD FLO <br /> S-�OCKTON , CA 95202 <br /> Accounting Office : 209 468-3420 <br /> TO : FRANZIA BROS WINERY* <br /> PO BOX 697 Account # 0005624 <br /> RIPON , CA 95366 <br /> ATTN : FRANZIA WINERY Facility ID 00517 <br /> RE : FRANZIA BROS WINERY* <br /> 17000 E HWY 120 <br /> RIPON <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> -Date - Description Hrs Employee Amount <br /> Invoice # 054282 -- Date of Invoice : 01/28/99 <br /> 01 /28/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10 . 00 <br /> 01 /28/99 2232 HAZARDOUS WASTE CA FACILITY PERMIT $648 . 00 <br /> ------------------------------------- <br /> Total for this invoice : $658 . 00 <br /> Payment DUE DATE 03/01/99 <br /> If this INVOICE has been Paid, Please Oisregard this Notice <br /> pAYMENT <br /> �,�F C F--I V E";D <br /> FEB 2 2 1999 <br /> 5{1;4'4CAOWII GOONfry <br /> POW(C H FEA-0 H SER/IGES <br /> HEALTH DiViGION <br /> For all SERVICE FEES penalties will <br /> Penalties will be added on all Permits be added at the rate of 103 60 days <br /> at the rate of 100% of the Base Fee 30 past invoice date and each 30 days <br /> days after the due date. thereafter, <br /> TOTAL DUE this Billing Period : $658 . 00 <br /> L '- <br /> Please make Checks PAYABLE to : PHS/EHD <br />