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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPART <br />1L68 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Phone: (209) 468-3420 <br />INVOICE <br />JOHNSON,DAVE <br />H & H MARINA <br />15135W EIGHT MILE RD <br />STOCKTON, CA 95219 <br />Page 1 <br />Account ID AR0005748 <br />Facility ID FA0005287 <br />Date Printed 8/28/2014 <br />RE: H & H MARINA <br />15135 W EIGHT MILE RD <br />STOCKTON, CA 95219 <br />OWNER: DELTA TRANSPORT INC <br />..Date. Health <br />Program Description _ _ Amount -- <br />Invoice # IN0254800 --- Date of Invoice : 7/24/2014 <br />6/19/2014 2832 333 - INSPECTION/REINSPECTION (1 hr minimum) <br />6/19/2014 2220 333 - INSPECTION/REINSPECTION (1 hr minimum) <br />11111111111111 III VIII VIII 11111 VIII VIII VIII VIII VIII VIII IIII 11111111111 IIII IIII <br />Hrs ,,Ep oye� <br />0.00 WONG $ 125.00 <br />0.0 WONG $ 125.00 <br />Total for this Invoice $ 250.00 <br />Payment Due Date 8/23/2014 <br />TOTAL DUE this Billing Period $ 250.00 <br />dIId11-111ih1111111ill {{tt'l[It {II'{{i1{It! I:If{{{I{{{I'i'li zsz .s�7s� <br />89'�EZ9y�56 �. <br />GeiVAw ivd G1 3iSIV N11 <br />NMON7i -LON (131dW31.1.V <br />2i3dCJ�5 Q1 N�f11�2i <br />Irv.=ex �4-i,.L.T <br />RECEIVED <br />Hasler FI; <br />v • t'Y o i �;�•.�. <br />i 1f <br />ENVIRONMENTAL HEAL <br />PERIVIMSERVIC <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 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 />i?54 mt <br />