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JHIV JVMWU114 k UUN 1 T <br /> ENVIRONMENTAL HEALTH DEPARTMr7"IT Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0002366 <br /> Facility ID FA0002805 <br /> Date Printed 1/28/2008 <br /> KAISER ROAD TRUST RE : PEARCE, JEFF H 3940 <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# IN0164669---Date of Invoice: 7/23/2007 I IIIIIII IIIIII III IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIIIII IIIII IIII IIII <br /> Hrs Employee <br /> 6/18/2007 2755 333-INSPECTION/RE INSPECTION(1 hr minimum) 1.00 BIEDERMANN $ 95.00 <br /> 6/25/2007 2755 333-INSPECTION/REINSPECTION(1 hr minimum) 1.00 SANGALANG $ 95.00 <br /> 10/15/2007 9988 SERVICE CHARGE PENALTY -� $ 9.50 <br /> 10/15/2007 9988 SERVICE CHARGE PENALTY111/15/2007 9988 SERVICE CHARGE PENALTY PP'V V � $ 9.50 <br /> ��E $ 9.50 <br /> 11/15/2007 9988 SERVICE CHARGE PENALTY $ ; <br /> 12/15/2007 9988 SERVICE CHARGE PENALTY EC3 1 ��u)S 9.50 <br /> 12/15/2007 9988 SERVICE CHARGE PENALTY • �` $ 9. <br /> -�O�SAN JOAQUIN OUNTY <br /> �� c�'✓ ENVIRONM NTAL Total for this Invoice $ <br /> �g HEALTH DEPAR PAST DUE <br /> �1: 4" <br /> v <br /> Invoice# IN0168830---Date of Invoice: 11/19/2007 '� � I IIIIIIIIIIIIIIII IIIII IIIII IIIIIIIIII IIIII IIIII IIIIIIIIIIIIII IIIIII IIIII IIII IIII <br /> Hrs Employee <br /> 10/11/2007 4630 333-INSPECTION/REINSPECTIO$ (1 Rr minimum) 1.00 WONG $ \98./00 <br /> Total for this Invoice $ 4 .00 <br /> Payment Due Date 12/20/2067 <br /> Invoice# IN0173427---Date of Invoice: 1/25/2008 I IIIIIII IIIIII III IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIIIII IIIII IIII IIII <br /> Hrs Employee <br /> 12/11/2007 4630 506-SPWS-PROCEDURAL VIOLATION 2.00 WONG $ 1 9A <br /> 00 <br /> Total for this Invoice $ 6. 0 <br /> Payment Due Date 2/ 7 008 <br /> TOTAL DUE this Billing Period $ 41.0 <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 /> KIrpt <br />