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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMI"'T Page . <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE AccountiD AR0002366 <br /> Facility ID FA0002805 <br /> Date Printed 10/8/2010 <br /> KAISER ROAD TRUST RE : PEARCE,JEFF H 39-40 <br /> 1680 INDIAN VALLEY RD 5125 S KAISER RD <br /> NOVATO, CA 94947 STOCKTON, CA 95215 <br /> OWNER : PEARCE, JEFF H <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0202697--Date of Invoice: 4/27/2010 I IIIIIII IIIIII III IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIIIII IIIII IIII IIII <br /> Hrs Employee <br /> 3/18/2010 4630 552-LEGAL ACTION/INVESTIGATION 2.00 ELLSAESSER $ 230.00 <br /> 7/15/2010 9988 SERVICE CHARGE PENALTY $ 23.00 <br /> 8/9/2010 9999 PAYMENT ($ 230.00) <br /> Total for this Invoice $ 23.00 <br /> PAST DUE <br /> Invoice# IN0204914---Date of Invoice: 6/24/2010 I IIIIIII IIIIII III IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIIIII IIIII IIII IIII <br /> Hrs Employee <br /> 5/13/2010 2765 R28-OCCUPANCY RE-INSPECTION 1.00 SANGALANG $ 115.00 <br /> 5/17/2010 4630 506-SPWS-PROCEDURAL VIOLATION 1.00 BOERTIEN $ 230.00 <br /> 9/15/2010 9988 SERVICE CHARGE PENALTY $ 11.50 <br /> 9/15/2010 9988 SERVICE CHARGE PENALTY $ 23.00 <br /> Total for this Invoice $ 379.50 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 402.50 <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 OES/HMMP 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 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt <br />