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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPAR'rMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Phone : (209 ) 4683420 <br /> Account ID AR0000109 <br /> INVOICE <br /> Facility ID FA0000110 <br /> Date Printed 7/31 /2020 <br /> VALDEZ , EUGENIA D RE : J & L MARKET <br /> J & L MARKET 8115 S EL DORADO ST <br /> 8125 S EL DORADO ST FRENCH CAMP, CA 95231 <br /> FRENCH CAMP, CA 95231 <br /> OWNER : EUGENIA VALDEZ <br /> Date Health <br /> Program Descripticn Amount <br /> Invoice # IN0338646 --- Date of Invoice : 7/29/2020 11111 111 111111 11111 IN IN <br /> Hrs Employee <br /> 6/22/2020 2. 832 306 - FOLLOW UP FOR NON-COMPLIANCE 0 . 10 BAKER $ 15 . 20 <br /> 0 v Z J V0 U n " ' / a Total for this Invoice $ 15. 20 <br /> J Payment Dus: Date 8/30/2020 <br /> TOTAL DUE this Billing Period $ 15 . 20 <br /> y: / " 1 <br /> EN�IR�NMENtM��� <br /> OhEp,IJ A <br /> Please make Checks PAYABLE to : ' EHDReturn 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 />