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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95206 <br /> Phone* (209)468-3420 <br /> INVOICE Account ID <br /> Facility ID FA0009929 <br /> Date Printed [ 1/3012014 <br /> GREG J RAUSSER RE : RAUSSER BROS'TRUCKING INC <br /> RAUSSER BROS TRUCKING INC 12000 ELI BERTY RD <br /> 12000 E LIBERTY RD GALT,CA 95632 <br /> GALT,CA 95632 OWNER: RAUSSER BROS TRUCKING INC <br /> Hcalth Amount <br /> Date Program Description <br /> Invoice# IN0248201 —Date of Invoice: 113012014 <br /> 113012014 1921 FfMBP-Regular-Primary Location 300.00 <br /> $ 213.00 <br /> 1/30/2014 21220 SM HW GEN<5 TONSIYR $ 35.00 <br /> 1130/2014 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br /> Total for this Invoice $ 648.00 <br /> Payment Due Date 31112014 <br /> TOTAL DUE this Billing Period 548.00 <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 ForHMBP'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 Data and each 30 Days thereafter <br /> S254.rpt <br />