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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 COPY <br /> INVOICE Account ID AR0027285 <br /> <br /> <br /> AUL BLANCOS AUTO PLEX OF STOCKTON <br /> 3190 AUTO CENTER CIR 3190 AUTO CENTER CIR <br /> STOCKTON, CA 95212 STOCKTON, CA 95212 <br /> OWNER : PAUL BLANCOS AUTO PLEX OF STKN <br /> Date Health ------- <br /> Program Description Amount <br /> Invoice# IN0249081 ---Date of Invoice: 1/30/2014 I IIIIII IIIIII III VIII VIII VIII VIII IIIII IIIII IIIII IIIII VIII ISI IIIIII IIIII IIII IIII <br /> 1/30/2014 1920 HMBP-Common Materials $ 130.00 <br /> 1/30/2014 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/30/2014 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total for this Invoice $ 378.00 <br /> Payment Due Date 3/1/2 <br /> TOTAL DUE this Billing Period $ 37$.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 2 I 2014 <br /> SAN JCAQUIN 000NrY <br /> ENY'R O N M E NTAL <br /> wFA' 5EaARTMENT <br /> c � U� <br /> C <br /> yu" uvu Q-� <br /> ov VV <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 />