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SAN JOAQUIN COUNTY <br /> Page 1 <br /> ENVRONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, <br /> <br /> 7265 <br /> INVOICE <br /> Facility ID FA0025137 <br /> Date Printed 1/30/2020 <br /> SANDHU, GURPREET RE : CIRCLE K CHEVRON <br /> CIRCLE K CHEVRON 1490 S MAIN ST <br /> 2823 E SUGARHILL TERRACE MANTECA, CA 95337 <br /> DUBLIN, CA 94568 <br /> OWNER : SANDHU, GURPREET <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0334209---Date of Invoice: 1/29/2020 11111111 E111 E 11111 11111 11111 111 111 11111 11111 1111 hil 1111 111111 11111 1E IN <br /> 1/29/2020 1616 RETAIL MARKET< 1000 SQ FT W/FOOD PREP $ 257.00 <br /> Total for this Invoice $ 257.00 <br /> Payment Due Date 2/29/2020 <br /> TOTAL DUE this Billing Period $ 257.00 <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 /> ji 54.rpt <br />