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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZFLTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR00173 66 <br /> LINEENNIMMEMENEEMA <br /> Facility ID F FA00-10-3 3-6 <br /> LUMMMOOMMMOMma <br /> Date Printed 1/29/2015 <br /> JEFF WELCH RE : GEORGE REED INC <br /> GEORGE REED INC(CLEMENTS) 17300 JAHANT RD <br /> PO BOX 4760CLEMENTS, CA 95227 <br /> bee► �' /si <br /> O <br /> �� OWNER : GEORGE REED INC <br /> Date Health <br /> Program l7escrintion Amnunt <br /> Invoice# IN0261338---Date ofInvoice: 1/29/2015 1111111111111111111 ME 1111111111�1111 11111111111111111111111111111111111 IN IIII <br /> 1/29/2015 1921 HMBP-Regular-Primary Location $ 525.00 <br /> 1/29/2015 2220 SM HW GEN<5 TONSNR $ 213.00 <br /> 1/29/2015 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> 1/29/2015 2832 AST FAC 10 K-</-100 K GAL CUMULATIVE $ 675.00 <br /> 1/29/2015 APSA APSASURCHARGE $ 26.00 <br /> Total for this Invoice I $ 1,474.00 <br /> Payment Due Date 2/28/2015 <br /> TOTAL DUE this Billing Period $ 1,474.00 <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 /> 5254 rpt <br />