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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 I AR0039173 <br /> Facility ID FA0021620 <br /> Date Printed1/29/2015 <br /> Imommmommoommuma <br /> BEAU CRABTREE RE : TKO RECYCLING <br /> TKO RECYCLING 2803 S 99 FRONTAGE RD <br /> 2803 S 99 FRONTAGE RD STOCKTON, CA 95215 <br /> STOCKTON, CA 95215 <br /> OWNER : OLIVER JOHNSON <br /> Date Health <br /> Program Description — Amount <br /> Invoice# IN0263310---Date of Invoice; 1/29/2015 IIIIIIIII III VIII VIII VIII VIII VIII VI I1Iil VIII VIII 1111111111111111111 IN <br /> 1/29/2015 1921 HMBP-Regular-Primary Location I f $ 255.00 <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 $ 503.00 <br /> Payment Due Date 2/28/2015 <br /> TOTAL DUE this Billing Period $ 503.00 <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 />