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SAN.JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> M <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> Account ID AR0006380 <br /> <br /> <br /> Date Printed 1/30/2020 <br /> PAUL WNUK RE : SIERRA LUMBER <br /> SIERRA LUMBER 375 HAZELTON AVE <br /> 375 W HAZELTON AVE STOCKTON, CA 95203 <br /> STOCKTON, CA 95203 <br /> OWNER : SIERRA LUMBER <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0326706---Date of Invoice: 9/26/2019 111111 111111 E 11111 �111 11111 U11 11E 11111 1111 IRI 1111111 11111�11111 X111 IN <br /> 9/26/2019 1921 HMBP-Regular-Primary Location $ 364.00 <br /> 9/26/2019 1922 CERS Processing Fee $ 30.00 <br /> 9/26/2019 2220 SM HW GEN<5 TONS/YR $ 249.00 <br /> 9/26/2019 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 49.00 <br /> 12/15/2019 9987 Haz Mat Program Penalty Fee $ 36.40 <br /> 12/15/2019 9994 PERMIT FEE PENALTY $ 249.00 <br /> Total for this Invoice $ 977.40 <br /> PAST DUE <br /> nUE� TOTAL DUE this Billing Period $ 977.40 <br /> pAS^ l Youa <br /> �pTE <br /> WE�VOU YMENTTO1)AY� <br /> PA <br /> OA DUE <br /> Delinquent charges <br /> will be forwarded to <br /> COLLECTIONS <br /> in 30 days. <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 />