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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 9520 <br /> <br /> <br /> <br /> Facility ID FA0014420 <br /> Date Printed 8/29/2019 <br /> COMPLIANCE DEPT RE : THE HOME DEPOT STORE#1020 <br /> ARCADIS U.S., INC. 2461 NAGLEE RD <br /> 160 CHAPEL ROAD, SUITE 201 C/O TRACY, CA 95304 <br /> COMPLIANCE DEPARTMENT <br /> MANCHESTER, CT 06042 OWNER : THE HOME DEPOT U.S.A., INC. <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0325320---Date of Invoice: 8/29/2019 111111 H 11111 1�11 11111 Ell 1�11 11111 11111 1111 1111�1111 11EI 1111�1111111 <br /> 8/29/2019 1620 RETAIL MKT 26-300 SO FT(INCIDENTAL FOODS) $ 107.00 <br /> Total for this Invoice $ 107.00 <br /> Payment Due Date 9/28/2019 <br /> TOTAL DUE this Billing Period $ 107.00 <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 60 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 52>4.rpl <br />