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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Phone: (209) 468-3420 <br />Page 1 <br />INVOICE <br />Account ID <br />Facility ID <br />Date Printed <br />AR0045648 <br />FAO 024461 <br />1/30/2020 <br /> <br /> <br /> <br /> <br /> <br /> <br />OWNER: HELI VILLLASENOR JR <br />Date Health <br />Program Description Amount <br />111111111101111111111101111111111111111111111111111111111110111111 <br />$ 115.00 <br />$ 30.00 <br />$ 249.00 <br />49.00 <br />11.50 <br />249.00 <br />Invoice # IN0330045 --- Date of Invoice : 9/26/2019 <br />9/26/2019 1920 HMBP-Common Materials <br />9/26/2019 1922 CERS Processing Fee <br />9/26/2019 2220 SM HW GEN <5 TONS/YR <br />9/26/2019 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />12/15/2019 9987 Haz Mat Program Penalty Fee <br />12/15/2019 9994 PERMIT FEE PENALTY <br />PAST DUE <br />wE WOULD APPRECIATE YOUR <br />PAYMENT TODA\O. <br />pET D E <br />Delinquent charges <br />will be forwarded to <br />COLLE.011ONS <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 <br />at the Rate of 100% of the Base Fee <br />30 Days after the Due Date <br />For HMBP Fees <br />Penalties will be added at the Rate of 10% <br />60 Days after the Invoice Date <br />For all SERVICE FEES <br />Penalties will be added at the Rate of 10% <br />60 Days after the Invoice Date and each 30 Days thereafter <br />5254.rpt