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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> INVOICE <br /> Account 10 —AR 0018282 <br /> Facility ID FA0 11128 <br /> Date Pnnted 3/4/2015 <br /> WEST COAST AGGREGATES INC VALL RE : WEST COAST AGGREGATES INC VALLEY R <br /> <br /> TRACY, CA 95304 <br /> OWNER : WEST COAST AGGREGATES INC <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0261614---Date of Invoice: 1129/2015 IIIIIIIIIIIIIIIII VIII VIII VIIIIIIIIIIIII VIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIII IIII <br /> 1/29/2015 1921 HMBP-Regular-Primary Location $ 285.00 <br /> 1/29/2015 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total for thls Invcice $ 320.00 <br /> Payment Due Date 2/2 812 01 5 <br /> ZIP—MU sa <br /> ENVIRONMENTAL HEALTH DEPARTMENT Hasler <br /> SAN JOAQUIN COUNTY <br /> 1868 East Hazelton Avenue <br /> Stockton,Califotnia 95205-6232 �G l.� '✓� 7 { <br /> Return Service Requested � <br /> �♦ :I <br /> q 'fs((o' <br /> V 957 N7E 103621519293 /10, <br /> RETURN TO SENDER <br /> ' WEST COAST AGGREGATES <br /> 316 PACIFIC AVE <br /> PIEDMONT CA 94611-3433 <br /> RETURN TO SENDER <br /> OS J A Ida,23 � - IILIItIIIJtIl Illlilllltllllllijntlllnll{yIf�1ItII�IILnifi <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 />