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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 /> Account ID AR0038261 <br /> INVOICElummommommommma <br /> Facility ID F—F-A0 221195 <br /> Date Printed 4/26/2017 <br /> JAMES DEFEHR/JONATHAN BLACK RE : DEALERS CHOICE TRANSP & REPAIR <br /> DEALERS CHOICE TRANSP & REPAIR 108 N HOUSTON LN STE B <br /> 108 N HOUSTON LN STE B LODI, CA 95240-2400 <br /> LODI, CA 95240-2400 <br /> OWNER : DEFEHR, JAMES; BLACK, JONATHAN <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0290094---Date of Invoice: 1/26/2017 1111111 111111 III VIII VIII(IIII VIII VIII(IIII VIII ILII VIII IIII 111111 11111 1111 IIII <br /> 1/26/2017 2220 SM HW GEN<5 TONS/YR $ 226.00 <br /> 1/26/2017 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> 4/15/2017 9994 PERMIT FEE PENALTY $ 226.00 <br /> Total for this Invoice $ 487.00 <br /> �q {meq; Payment Due Date 2125/2017 <br /> In <br /> FVV-'T '^` U 1 TOTAL DUE this Billing Period $ 487.00 <br /> WE W0L)LD A.F1PFf[-:C:f:TF YOU., <br /> PAYg:ZINT TODAY! <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 />