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SAIWJOAWI IN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> Account ID AR0025439 <br /> INVOICE <br /> Facility ID FA0014910 <br /> Date Printed 1/30/2020 <br /> STOCKTON TRAILER MFG RE : STOCKTON TRAILER MFG <br /> SERGIO GUTIERREZ 1240 N FILBERT ST <br /> 1240 N FILBERT ST STOCKTON, CA 95205 <br /> STOCKTON, CA 95205 <br /> OWNER : SERGIO GUTIERREZ <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0328151 ---Date of Invoice: 9/26/2019 111111 E111 E 11111�1111 11111 11111 11111 11111 111 11H 11111�1111�111 111111 fli�IE IN <br /> 9/26/2019 1921 HMBP-Regular-Primary Location $ 415.00 <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 $ 41.50 <br /> 12/15/2019 9994 PERMIT FEE PENALTY S 249.00 <br /> Total for this Invoice 1 $ 1,033.50 <br /> PAST DUE <br /> �S� n�F' TOTAL DUE this Billing Period $ 1,033.50 <br /> P pPRECIATE YOUR <br /> WE WOULD A T TODAY! <br /> PAYN!EN <br /> PAW 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 /> 5??l.rpt <br />