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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPART Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> INVOICE Amount ID AR0005748 <br /> Facility ID FA0005287 <br /> Date Printed 8/28/2014 <br /> JOHNSON, DAVE RE : H & H MARINA <br /> H & H MARINA 15135 W EIGHT MILE RD <br /> 15135 W EIGHT MILE RD STOCKTON, CA 95219 <br /> STOCKTON, CA 95219 <br /> OWNER : DELTA TRANSPORT INC <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0254800--Date of Invoice: 7/24/2014 111IIIlI1lI1IIVIIVIIIVIIVIIIVIIVIIIIIIIIII11I1IIi111111111111 IIII IIII <br /> Hrs mploye@�, <br /> 6/19/2014 2832 333-INSPECTION/REINSPECTION(1 hr minimum) 0.00 WONG ', $ 125.00 <br /> 6/19/2014 2220 333-INSPECTION/REINSPECTION(1 hr minimum) 0.0 WONG $ 125.00 <br /> Total for this Invoice —j-25o.00 <br /> Payment Due Date 8123/2014 <br /> "# a <br /> TOTAL DUE this Billing Period $ 250.00 <br /> J( l{fll'I.f°.tl°.f:..t{1t41,1t���l�i'irtrlt Z£Z9fl59Z55 rir <br /> 1. —bT—ir'921+9—ZLLZ-x 89 Zf 29 S0Z Sr 9: Ha519P <br /> NMONN ION — C31dW311N � lv A <br /> 11317N3s Cil N2in1311 <br /> RECEIVED <br /> ENVIRONMENTALHEAL <br /> PERMIT/SERVIC <br /> r <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 /> C95d m, <br />