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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL. HEALTH DEPARTMENT <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />INVOICE <br /> <br /> <br /> <br /> <br />Dwealth <br />Date <br />Program -- Dascriot.icn <br />Invoice # IN0232083 --- Date of Invoice : 1012212012 <br />10/15/2012 9996 APPLY DISCOUNT <br />10/22/2012 2220 SM HW GEN <5 TONS/YR <br />N <br />Page 1 <br />Account lD AR0038952 <br />Facility lD FA0021532 <br />Date Printed 10/22/2012 <br />tea. <br />RE; JCPENNEY CORP INC STORE #1156 <br />4915 CLAREMONT AVE <br />STOCKTON, CA 95207 <br />OWNER: JCPENNEY CORP INC <br />/r/ <br />Ll— <br />Amount <br />1111111111111 Ill 1111111111 Illll 1111/ IIIII Illll IIIII <br />Illll 111111111111111 <br />($ <br />IBI IN <br />159.75) <br />5 <br />213.00 <br />Total for thls Invoke <br />$ <br />53.25 <br />Payment Due Date <br />1 1121 /201 2 <br />$ <br />53.25 <br />TOTAL DUE this Billing Period <br />PAYMENT <br />RECEIVED <br />co NOV 15 2012 <br />\1V / SAN aoanurN cnuNTY <br />ENVIRONMENTAL <br />I-Jn HEALTH DEPARiI�ENT <br />Please make Checks PAYABLE to: 'EHO' -- Return a Copy of This STATEMENT with Your PAYMENT <br />For all SERVICE FEES <br />Penalties will be Added to all Permit Fees For OES / HMMP Fees penalties will be added at the Rate of 10 <br />at the Rate of 100% of the Base Fee Penalties will be added at the Rate of 10% <br />30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br />