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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 /> AMENDED Account ID AR0017532 <br /> INVOIC <br /> <br /> e Printed 12/6/2019 <br /> GIGLI, JOE RE : GIGLI CO INC <br /> GIGLI CO INC 12333 S MANTHEY RD BOX C <br /> 1256 W LATHROP RD#389 LATHROP, CA 95330 <br /> MANTECA, CA 95336 <br /> OWNER : GIGLICO INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0327536---Date of Invoice: 9/26/2019 I IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII 111111111 <br /> 9/26/2019 1921 HMBP-Regular-Primary Location $ 449.00 <br /> 9/26/2019 1922 CERS Processing Fee $ 30.00 <br /> 9/26/2019 2220 SM HW GEN<5 TONSNR $ 249.00 <br /> 9/26/2019 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 49.00 <br /> 9/26/2019 2832 AST FAC 10 K-</=100 K GAL CUMULATIVE $ 743.00 <br /> 9/26/2019 APSA APSA SURCHARGE $ 26.00 <br /> 12/15/2019 9997 CORRECTION TO A CHARGE ($ 743.00) <br /> Total for this Invoice $ 803.00 <br /> Payment Due Date 10/27/2019 <br /> TOTAL DUE this Billing Period $ 803.00 <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 /> 5254.rpt <br />