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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTN <br />1868 E HAZELTON AVENUE <br />STOCKTDN, LA 95205 <br />Phone: (209) 468-3420 <br />INVOICE <br />LOPEZ, RUBEN & GARCIA, DAVID <br />B&H TRANSMISSION AND AUTO CARE <br />1203 CARLTON AVE <br />STOCKTON, CA 95203 <br />Page 1 <br />Account ID <br />AR0016247 <br />Facility ID <br />FA0009247 <br />Date Printed <br />3/31/201 <br />RE: B&H TRANSMISSION AND AUTO CARE <br />3422 E MINER AVE <br />STOCKTON, CA 95205 <br />OWNER: RUBEN LOPEZ AND DAVID GARCIA <br />Date Health <br />Program Description Amount <br />Invoice # IN0260909 --- Date of Invoice: 1129/2015 <br />1/29/2015 <br />1920 <br />HMBP-Common Materials <br />1/29/2015 <br />2220 <br />SM HW GEN <5 TONSNR <br />1/29/2015 <br />2399 <br />UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />3/15/2015 <br />9987 <br />Haz Mat Program Penalty Fee <br />PAS 'L--)"(aE! <br />WE WOULD .APPRE1 iATE YOUR <br />PN(MENT TODAY! <br />1II11I1I1I1I1III VlIIVIII VIIIVIII VIIIVIII VIII VIII VIII1111111111VIII <br />$ <br />IIII IIII <br />205.00 <br />$ <br />213.00 <br />$ <br />35.00 <br />$ <br />20.50 <br />Total for this Invoice $ 473.50 <br />Payment Due Date 212812015 <br />TOTAL DUE this Billing Period $ 473.50 <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 />