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SAN JOApUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> Account lD AR00 <br /> <br /> lity ID FA000za5, <br /> Date Printed 4/5/2021 <br /> THE CLUB RE : THE CLUB <br /> 1520 MAIN ST 6545 EMBARCADERO DR <br /> �J REDWOOD CITY, CA 94063 STOCKTON, CA 95219 <br /> OWNER : PELLARIN ENTERPRISES <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0341153---Date of Invoice: 10/29/2020 11111 HE 1111111111111111111111111111111111111111111111 <br /> 2/23/2021 3699 POOL/SPA-OUT OF SERVICE $ 129.00 <br /> 2/23/2021 3699 POOUSPA-OUT OF SERVICE $ 129.00 <br /> Total for this Invoice $ 258. 0 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 258.00 <br /> V <br /> _ FSA?MENT <br /> PAYI�A T RECEIVED <br /> RECEIVED APR 0 5 2011 <br /> �p0 <br /> sAN.bAOUVicOUNTY <br /> FNVIaONMENTILL <br /> NFA6TN QEN4Nt11EMi <br /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at: 'hftos://www.sigoy.orddepartmenUenvhealttVonline-Dayment' <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 />