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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 />INVOICE <br />STOCKTON NISSAN <br />PO BOX 691180 <br />STOCKTON, CA 95269-1180 <br />Page 1 <br />Account ID <br />AR0034013 <br />Facility ID <br />FA0019100 <br />Date Printed <br />10/31/2018 <br />RE: STOCKTON NISSAN <br />3077 E HAMMER LN <br />STOCKTON, CA 95212 <br />OWNER: LITHIA OF STOCKTON INC <br />Date Health <br />Program Descripticn Amount <br />Invoice # IN0313995 --- Date of Invoice : 9/26/2018 <br />9/26/2018 <br />1921 <br />HMBP-Regular-Primary Location <br />9/26/2018 <br />1922 <br />CERS Processing Fee <br />9/26/2018 <br />2227 <br />GEN 13<25 TONS PERMIT <br />9/26/2018 <br />2399 <br />UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />9/26/2018 <br />APSA <br />APSA SURCHARGE <br />�. PO,yD NOTICE <br />1 �II1111I111I1I11I1II1 �11I111III1�1I1 IIIII IIIII11111111111111111111IN <br />$ <br />111111111111111 IN <br />432.00 <br />$ <br />30.00 <br />$ <br />1,949.00 <br />$ <br />49.00 <br />$ <br />26.00 <br />Total for this Invoice $ 2,486.00 <br />Payment Due Date 10/27/2018 <br />TOTAL DUE this Billing Period $ 2,486.00 <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 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 />5?5-t.rpt <br />