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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 /> AMENDED Account ID AR0004593 <br /> INVOICE <br /> Facility ID FA0002435 <br /> LUEEMMMMMMMME <br /> Date Printed 2/6/2018 <br /> LALA TOROSYAN RE : DELTA BLOOD BANK <br /> AMERICAN RED CROSS 65 N COMMERCE ST <br /> 100 RED CROSS CIR STOCKTON, CA 95202 <br /> POMONA, CA 91768 <br /> OWNER : AMERICAN RED CROSS <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0296952---Date of Invoice: 912612017 III IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIIIIIII IIII <br /> 9/26/2017 1921 HMBP-Regular-Primary Location $ 313.00 <br /> 9/26/2017 1922 CERS Processing Fee $ 25.00 <br /> 9/26/2017 2220 SM HW GEN <5 TONS/YR $ 249.00 <br /> 9/26/2017 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 49.00 <br /> 12/15/2017 9987 Haz Mat Program Penalty Fee $ 31.30 <br /> 12/15/2017 9994 PERMIT FEE PENALTY $ 249.00 <br /> 2/6/2018 9999 PAYMENT S 598.40) <br /> 2/15/2018 9992 CORRECTION TO A PENALTY S 1.70) <br /> 2/15/2018 9997 CORRECTION TO A CHARGE ($ 17.00) <br /> Total for this Invoice $ 299.20 <br /> PAST DUE <br /> Invoice# IN0302970---Date of Invoice: 10127/2017 IIIIIIIIIIIIIIIIIVIIIVIIIVIIIVIIIVIIIVIIIVIIIVIIIVIIIINIIIIIIIIIIIIIIIIIII <br /> 10/27/2017 4530 LG QUANITY GENERATOR $ 212.00 <br /> 1/15/2018 9994 PERMIT FEE PENALTY $ 212.00 <br /> Total for this Invoice I $ 424.00 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 723.20 <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 60 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 52i4.rpt <br />