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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPART <br /> 304 E WEBER AVE -3RD FLOOR ft <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 IILLLIIUUUIIJJJII <br /> INVOICE JAN 2 8 2005 Account ID AR0004125 <br /> BY--------------------- Facility ID FA0004443 <br /> LMEEMEWammi <br /> Date Printed 1/24/2005 <br /> <br /> <br /> ACAMPO, CA 95220 <br /> OWNER : ROBERT MONDAVI ENTERPRISES INC <br /> Date Health <br /> Proaram Description Amount <br /> Invoice# IN01 28793--Date of Invoice : 1/24/2005 IIIIIIIIII VIIIVIIIVIIVIIVIIVIIIVIIIVIIVIIIIII IIIIIIIIIIIIIII <br /> 1/24/2005 2214 Cali FAC STATE SURCHARGE FEE 5 270.00 <br /> 1/24/2005 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 450.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 944.00 <br /> Payment Due Date 2/23/2005 <br /> TOTAL DUE this Billing Period $ 44.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 1 6 '1 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMFr"r" <br /> HEALTH DEPAR i mi-NT <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 /> -__Srpt <br />