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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Phone: (209) 468 -3420 <br /> Account ID AR0004351 <br /> INVOICE <br /> Facility ID FA0000556 <br /> Date Printed 1 /29/2019 <br /> RANDHAWA, DIDAR SINGH RE : CHEROKEE LANE SERVICE STATION* <br /> CHEROKEE LANE SERVICE STATION* 900 S CHEROKEE LN <br /> <br /> <br /> OWNER : DIDAR SINGH RANDHAWA <br /> Date Health <br /> Program Description Amount <br /> Invoice # IN0312013 mw- Date of Invoice : 9/26/2018 I IIIIIII VIII) III VIII VIII ILII VIII VIII (III) VIII VIII VIII VIII IIII llllll VIII I'll IIII <br /> 9/26/2018 1921 HMBP-Regular-Primary Location $ 330 .00 <br /> 9/26/2018 1922 CERS Processing Fee $ 30. 00 <br /> 9/26/2018 2220 SM HW GEN <5 TONSNR $ 249.00 <br /> 9/26/2018 2301 UST STATE SURCHARGE FEE $ 20. 00 <br /> 9/26/2018 2301 UST STATE SURCHARGE FEE $ 20. 00 <br /> 9/26/2018 2301 UST STATE SURCHARGE FEE $ 20 . 00 <br /> 9/26/2018 2301 UST STATE SURCHARGE FEE $ 20 . 00 <br /> 9/26/2018 2360 UST - PER TANK FEE $ 228 . 00 <br /> 9/26/2018 2360 UST - PER TANK FEE $ 228 . 00 <br /> 9/26/2018 2360 UST - PER TANK FEE $ 228 . 00 <br /> 9/26/2018 2360 UST - PER TANK FEE $ 228. 00 <br /> 9/26/2018 2361 UST FACILITY $ 680 . 00 <br /> 9/26/2018 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 49 .00 <br /> 12/15/2018 9987 Haz Mat Program Penalty Fee $ 33 .00 <br /> 12/15/2018 9994 PERMIT FEE PENALTY $ 228. 00 <br /> 12/15/2018 9994 PERMIT FEE PENALTY $ 228 .00 <br /> 12/15/2018 9994 PERMIT FEE PENALTY $ 228.00 <br /> 12/15/2018 9994 PERMIT FEE PENALTY $ 228 .00 <br /> 12/15/2018 9994 PERMIT FEE PENALTY $ 680. 00 <br /> 12/15/2018 9994 PERMIT FEE PENALTY $ 249 . 00 <br /> Total for this Invoice $ 41204.00 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 4, 204. 00 <br /> HEALTHYOUR I <br /> THE CURRENT YEAR % <br /> WILL NOT BE ISSUED UNTIL <br /> PAST DUE AMOUNTSARE PPdD IN L <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 />