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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HA,ZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0038124 <br /> Facility ID FA0021139 <br /> Date Printed 9/27/2018 <br /> LUIS HERNANDEZ RE : PREMIUM TRUCK REPAIR <br /> <br /> STOCKTON, CA 95205 <br /> OWNER : LUIS HERNANDEZ <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0313853---Date of Invoice: 9/26/2018 I(IIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br /> 9/26/2018 1920 HMBP-Common Materials $ 149.00 <br /> 9/26/2018 1922 CERS Processing Fee $ 30.00 <br /> 9/26/2018 2227 GEN 13<25 TONS PERMIT $ 1,949.00 <br /> 9/26/2018 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 49.00 <br /> Total for this Invoice $ 2,177.00 <br /> Payment Due Date 10/27/2018 <br /> TOTAL DUE this Billing Period $ 2,177.00 <br /> hlaSler FIRST-CLASS tr1.411. <br /> NMENTAL HEALTH DEPARTMENT .uro <br /> SAN JOAQUIN COUNTY • 9� 000,4Q <br /> 1868 East Hazelton Avenue <br /> Stockton,California 95205-6232 ILEWED <br /> C 11 E'12635 1062 <br /> Return Service Requested OU 18 2018 <br /> ENV(R0NME:N TAi.HEALTH <br /> PERM)T/SERVICES <br /> U I x T E 0010/13 is I <br /> RFT.UIR_'J 'r0 §.E:NDF„R ! <br /> .14 ei 4..r+.C_AV ! -g4 <br /> V .:P <br /> Q USA 0YS <br /> TT!-S O\w L.� <br /> VAC BC: 952 623268 X254 303-1.3-25 � <br /> .'„':��:::i I".II"ail..'.[�•4t`�•�I�3�"i s�Y�!•3 G�'•• �t��I�;�llll�l' s' i� ] t� �57f�Idbu�!'7Il��Fill�F3.� <br />