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SAN JOAQUIN COUNTY Page 1 <br /> hNVIRONMENTAL HEALTH DEPARTMF • <br /> 304 E WFBER AVE -3RD FLOOR <br /> STOCI(TON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account AR0003469 <br /> LEEMMOMMENOMEN <br /> Facility ID r FA0 00 8881 <br /> LEMMEMMMENNOM <br /> Date PrintedL5/2004 <br /> GENERAL MILLS OPERATIONS INC RE : GENERAL MILLS <br /> P.O. BOX 3002 2000 W TURNER RD <br /> LODI, CA 95241-1906 LODI, CA 95240 <br /> OWNER : GENERAL MILLS OPERATIONS, INC <br /> Date Health Amount <br /> Program Description <br /> Invoice# IN0116280---Date of Invoice: 2/4/2004 <br /> 2/4/2004 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 2/4/2004 2244 2004 HAZMAT FEE $ 600.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 824.00 <br /> Payment Due Date 316/2004_\ <br /> TOTAL DUE this Billing Period $ 4.00 / <br /> PAYMENT <br /> RECEIVED <br /> J: 1 - 2004 <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 he 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 he 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 /> 5255.mt <br />