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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Phone: (209) 468-3420 <br />Page 1 <br />INVOICE <br />Return This INVOICE with Your PAYMENT <br />Account ID <br />Facility ID <br />Date Printed <br />AR0052733 <br />FA0027378 <br />3/26/2024 I <br />CHAVES, ANGELICA RE: CHAVINA'S <br />CHAVINA'S <br />231 FOREST HILLS DR <br />231 FOREST HILLS DR <br />TRACY, CA 95376 <br />TRACY, CA 95376 <br />OWNER: CHAVES, ANGELICA <br />Date Health <br />Program Description Amount <br />Invoice # IN0383229 --- Date of Invoice: 8/29/2023 <br /> <br />1111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <br />8/29/2023 1608 CLASS A COTTAGE FOOD-DIRECT SALES <br /> <br />PRO548000 186 00 <br />Total for this Invoice 186.00 <br />Payment Due Date 9/30/2023 <br />ATTENTION PAST DUE! <br />YOUR HEALTH PERMIT Deliquent charges over <br />FOR THE CURRENT YEAR 90 days! <br />MAY NOT BE ISSUED UNTIL <br />PAST DUE AMOUNTS ARE <br />PAID IN FULL <br /> <br />TOTAL DUE this Billing Peri/ $ 186.00 <br /> <br />ATTENTION! YOUR CFO PERMIT WILL NOT BE RENEWED BY ONLY PAYING THE INVI YOU <br />NEED TO COMPLETE AND RETURN THE RENEWAL FORM AND INCLUDE A LABEL OF ONE OF YOUR <br />CFO PRODUCTS. CFO RENEWAL FORM HERE: <br />https://www.sjgov.org/department/envhealth/forms <br />You can return by mail to our department at the address on the top of your invoice or email completed f <br />confirmation of payment to: jcastaneda@sjgov.org <mailto:jcastaneda@sigov. rg> <br />Please make Checks PAYABLE to: 'El-ID' <br />Or <br />Pay online at: 'httos://www.sjgov.orgideoartment/envhealth/fees/online-fee-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% <br />Penalties will be added at the Rate of 10% <br />30 Days after the Due Date 60 Days after the Invoice Date <br />60 Days after the Invoice Date and each 30 Days thereafter <br />5254.rpt End of report