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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT Page 1 1868 E HAZELT6N AVENUE STOCKTON, CA 95205 Phone: (209)468-3420 Account ID AR0005401 INVOICEL1011111MMM111110MMA Facility ID FA0004959 Date Panted F 11/30/2017 TRI VALLEY AUTO DISMANTLERS RE : TRI VALLEY AUTO DISMANTLERS 930 E DR MARTIN LUTHER KING JR BLVD 930 E DR MARTIN LUTHER KING JR BLVD STOCKTON, CA 95206 STOCKTON, CA 95206 OWNER : MANSOOR KARIMI Date Health Program Description Amount Invoice# IN0294552--Date of Invoice: 6/2612017 I IIIIIII IIIIII III VIII IIIII IIIII IIIII VIII VIII VIII IMI IIIII IIII 111111111111111 IIIIIIIIIIIIII IIII Hrs Employee 5/25/2017 2200 544-COMPLAINT INSP(actual time) 2.50 RIVERA $ 347.50 9/15/2017 9988 SERVICE CHARGE PENALTY $ 34.75 10/15/2017 9988 SERVICE CHARGE PENALTY $ 34.75 11/15/2017 9988 SERVICE CHARGE PENALTY $ 34.75 Total for this Invoice $ 451.75 PAST DUE Invoice# IN0297312---Date of Invoice: 9/26/2017 I IIIIIII IIIIII III IIIII IIIII IIIII IIIII IIIIIIIIII IIIII 11111 11111 IIII IIIIII IIIII IIII IIII 9/26/2017 1920 HMBP-Common Materials $ 115.00 926/2017 1922 CERS Processing Fee $ 25.00 9/26/2017 2220 SM HW GEN<5 TONSNR $ 249.00 9/26/2017 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FE $ 49.00 Total for this Invoice I $ 438.00 Payment Due Date 1 012 912 01 7 PAST DUE! TOTAL DUE this Billing Period $ 889.75 WE WOULD APPRECIATE YOUR PAfI 10DAYI Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT Penalties will be added to all Permit Fees For HMBP Fees For all SERVICE FEES at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 100/ Penalties will be added at the Rate of 10% 30 Days after the Due Date 60 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter 5254.rpt