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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> Account ID AR0 0-18-2 8-2 <br /> INVOICELOMMMMONOMMEM <br /> Facility ID FA0011282 <br /> Date Printed 3/4/2015 <br /> <br /> <br /> TRACY, CA 95304 <br /> OWNER : WEST COAST AGGREGATES INC <br /> Date Health <br /> Program Description <br /> Amounl <br /> Invoice# IN0261614---Date of Invoice: 1/29/2015 IIII IIIII�IIIIIIIIIIIIIIIVIIIVIIIIIIIIIIIIIIIIII VIII VIIIIIIIIIIIII VIII IIIIIIII <br /> 1/29/2015 1921 HMBP-Regular-Primary Location $ 285.00 <br /> 1/29/2015 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total for this Invoice $ 320.00 <br /> Payment Due Date 2/28/2015 <br /> 6 91 <br /> ENVIRONMENTAL HEALTH DEPARTMENT Hasler FIR <br /> SAN JOAQUIN COUNTY <br /> 1868 East Hazelton Avenue _ <br /> Stockton,Califomia 95205-6232 G <br /> Return Service Requested ` <br /> ��- SeAa.( r <br /> -bu,bll✓i g �1s(4' <br /> Cr 957 N7E 103621510203 /10, <br /> RETURN TO SENDER <br /> ' WEST COAST AGGREGATES <br /> 316 PACIFIC AVE <br /> PIEDMONT CA 94611-3433 <br /> RETURN TO SENDER <br /> os my rd J37r Itill dhd111011Ili IIIIIIiIIIIII1111rr111rlll(1it11111Lrnili <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 HMBP 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 100/ <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 />