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SirN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTM - <br />'168 E HAZELTON AVENUE <br />S rOCKTON, CA 95205 <br />Phone: (209) 468-3420 <br />INVOICE <br />TRAILER PROZ <br /> <br /> <br />t 0 (p ( k++l <br />Page 1 <br />Account ID �AR0030338 <br />Facility ID FA0017456 <br />Date Printed �n�1/29/2015�—�' <br />RE: TRAILER PROZ <br />837 E ROTH RD <br />FRENCH CAMP, CA 95231 <br />OWNER: ZIMAK, MARK J <br />Date Health <br />Program Description Amount <br />Invoice # IN0262693 --- Date of Invoice : 1/29/2015 <br />1/29/2015 1921 HMBP-Regular-Primary Location I IIIIIII IIIIII III IIIII IIII <br />III <br />IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br />1 � $ 240.00 <br />1/29/2015 2220 SM HW GEN <5 TONS/YR $ 213.00 <br />1/29/2015 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br />O Total fort his Invoice $ 488.00 <br />Y ` Payment Due Date 2/28/2015 <br />I TOTAL DUE this Billing Period $ 488.00 <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 />