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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 /> INVOICE Account ID AR00172 33 <br /> Immommummmma <br /> Facility ID F—FA 0-0 002 3— <br /> Date Printed 1/29/2015 <br /> RMB GARAGE RE : RMB GARAGE <br /> 715N HUNTER ST#A 715 N HUNTER ST A <br /> STOCKTON, CA 95202-1704 STOCKTON, CA 95202-1720 <br /> OWNER : JANOFSKY, JON <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0261281 ---Date of Invoice: 1/29/2015 111111111111111111111111111 HE 11111111111111111111111111111111111111111111111111111 <br /> 1/29/2015 1920 HMBP-Common Materials $ 205.00 <br /> 1/29/2015 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/29/2015 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total for this Invoice $ 453.00 <br /> Payment Due Date 2/28/2015 <br /> TOTAL DUE this Billing Period $ 453.00 <br /> D <br /> 0 <br /> FEB 1�.Z015 <br /> ENE ERM►�SER��STN <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 />