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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 AR0017 336 <br /> Facility ID FA0010336 <br /> LMMMMMUMMEMMA <br /> Date Printed 1/29/2015 <br /> JEFF WELCH RE : GEORGE REED INC <br /> GEORGE REED INC(CLEMENTS) n n' 17300 JAHANT RD <br /> CLEMENTS, CA 95227 <br /> OWNER : GEORGE REED INC <br /> Date Health <br /> Program Desrrntion _ <br /> A rt <br /> Invoice# IND261338---Date of Invoice: 1/2912015 IIIIIIIIIIII VII VIIVIII VIII VIII VIII VIII VII IIIIIIII IIII IIIIIIIIIII IIII IIII <br /> 1/29/2015 1921 HMBP-Regular-Primary Location $ 525.00 <br /> 1/29/2015 2220 SM HW GEN<5 TONSNR $ 213.00 <br /> 1/29/2015 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> 1/29/2015 2832 AST FAC 10 K-</=100 K GAL CUMULATIVE $ 675.00 <br /> 1/29/2015 APSA APSA SURCHARGE $ 26.00 <br /> Total for this Invoice $ 1,474.00 <br /> Payment Due Date 2/28/2015 <br /> TOTAL DUE this Billing Period $ 1,474.00 <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 />