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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMO • Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> INVOICE Amount ID AR0039079 <br /> Facility ID FFAE021580 <br /> Date Printed 4/14/2014 <br /> STACY PINOLA RE : SJ DELTA COLLEGE SO CAMPUS MT <br /> SJ DELTA COLLEGE SO CAMPUS MT HOUSE HOUSE <br /> 5151 PACIFIC AVE 2073 S CENTRAL PKWY <br /> STOCKTON, CA 95207 MOUNTAIN HOUSE, CA 95391 <br /> OWNER : SJ DELTA COMMUNITY COLLEGE <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0250368---Date of Invoice: 1/30/2014 IIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIIIIIII IIII <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 $ 248.00 <br /> Payment Due Date 3/1/2014 <br /> TOTAL DUE this Billing Period $ 248.00 <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 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 />