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Account ID AR0004778 Facility ID FA0002644 Date Printed 2/26/2016 INVOICE I SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTAIT 1868 E HAZELTON AVENUE STOCKTON, CA 95205 Phone: (209) 468-3420 Page 1 RILEY, LYNNDEE SAN JOAQUIN SAFETY COUNCIL 6004 N EL DORADO ST STOCKTON, CA 95207-4349 RE: SAN JOAQUIN SAFETY COUNCIL 7615 OAKMONT DR STOCKTON, CA 95207 OWNER: SAN JOAQUIN SAFETY COUNCIL Date Health Program Description Amount Invoice # IN0233689 --- Date of Invoke : 11/19/2012 1 1111111 111111 111 1 1111 11111 1111 1 0111 1111111111111 111 1111111 1111 0I IN 1111111 11/16/2012 3699 POOL/SPA - OUT OF SERVICE 110.00 Total for this Invoice 110.00 PAST DUE Invoice # IN0245017 --- Date of Invoice: 11/19/2013 IIIIIIIIIIIIII1111101111011111111111111111111111111111111111111111111111111101111 11/19/2013 3699 POOL/SPA - OUT OF SERVICE 110.00 Total for this Invoice 110.00 PAST DUE Invoice # IN0257949 --- Date of Invoice: 11/19/2014 1111111111111111111111 1111111111111111011111111111111111111111111111111111111111111 11/19/2014 3699 POOL/SPA - OUT OF SERVICE 110.00 Total for this Invoice 110.00 PAST DUE Invoice # IN0272251 --- Date of Invoice: 11/19/2015 111111111111111011111111111111111111111111111111111111111111111111111111111111111111 11/19/2015 3699 POOL/SPA - OUT OF SERVICE 110.00 Total for this Invoice 110.00 PAST DUE TOTAL DUE this Billing Period $ 440.00 Please make Checks PAYABLE to: 'EHD - Return a Copy of This STATEMENT with Your PAYMENT Penalties will be added to all Permit Fees For HMBP Fees For all SERVICE FEES 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% 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter 5254.rpt