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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTM, 1863 E HAZELTON AVENUE STOCKTON, CA 95205 Phone: (209) 468-3420 INVOICE JOHNSON, DAVE H & H MARINA 15135 W EIGHT MILE RD STOCKTON, CA 95219 Page 1 Account ID [_ AR0005748 LMMMM- Facility ID FA0005287 Date Printed 1 10/23/2014 RE: H & H MARINA 15135 W EIGHT MILE RD STOCKTON, CA 95219 OWNER: DELTA TRANSPORT INC Date Health Program Description Ar oust Invoice # IN0254800 --- Date of Invoice: 7/24/2014 PAYMENT TODAY! Invoice # IN0256839 --- Date of Invoice : 10/23/2014 9/8/2014 2832 306 - FOLLOW UP FOR NON-COMPLIANCE 9/8/2014 2220 306 - FOLLOW UP FOR NON-COMPLIANCE IIIIIII IIIIII III IIIII 111111111111111111111111111111111111111111111111111111111111 Hrs Employee Hrs Employee 0.50 VELOSO $ 6/19/2014 2832 333 - INSPECTION/REINSPECTION (1 hr minimum) 0.00 WONG $ 125.00 6/19/2014 2220 333 - INSPECTION/REINSPECTION (1 hr minimum) 0.00 WONG $ 125.00 10/15/2014 9988 SERVICE CHARGE PENALTY $ 12.50 10/15/2014 9988 SERVICE CHARGE PENALTY $ 12.50 9 �r1ST DUE! 275.00 Total for this Invoice $ WE WOULD APPRECIATE YOUR PAST DUE PAYMENT TODAY! Invoice # IN0256839 --- Date of Invoice : 10/23/2014 9/8/2014 2832 306 - FOLLOW UP FOR NON-COMPLIANCE 9/8/2014 2220 306 - FOLLOW UP FOR NON-COMPLIANCE IIIIIII IIIIII III IIIII 111111111111111111111111111111111111111111111111111111111111 Hrs Employee 0.50 VELOSO $ 65.00 1.00 VELOSO $ 130.00 Total for this Invoice $ 195.00 Payment Due Date 11/22/2014 $ 470.00 TOTAL DUE this Billing Period Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT 'enalties will be added to all Permit Fees For HMBP Fees For all SERVICE FEES 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% 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafte 5254.rpt