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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> Account ID AR0017418 <br /> INVOICE <br /> V5wn Facility ID FA0010418 <br /> �-�" ��`� Date Printed 9/27/2019 <br /> JOE GONZALES TRUCKING ) RE : JOE GONZALES TRUCKING, INC. <br /> P.O. BOX 1272 7385 E WEST RIPON RD <br /> MANTECA, CA 95336 MANTECA, CA 95337-9334 <br /> OWNER : JOE GONZALES <br /> Health <br /> Date Program Description <br /> Amount <br /> Invoice# IN0327489---Date of Invoice: 9/26/2019 IIIIII IIIIII III VIII VIII VIII 11111111111 VIII VIII VIII IIII IIIIII VIII IIII IIII <br /> 9/26/2019 1921 HMBP-Regular-Primary Location $ 381.00 <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 /> Total for this Invoice $ 709.00 <br /> Payment Due Date 10/27/2019 <br /> TOTAL DUE this Billing Period $ 709.00 <br /> G3L�GC[IM�G <br /> NOV 2 0 2019 <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES <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 />