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SAN JOACUIN COUNTY .�/ Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0038650 <br /> Facility ID FA0021322 <br /> Date Printed 1/30/2014 <br /> LMORNEUMMOUNNEENE <br /> SATELLITE HEALTHCARE RE : SATELLITE DIALYSIS UNIVERSITY PARK <br /> SATELLITE DIALYSIS UNIVERSITY PARK 590 E HARDING WAY <br /> 590 E. MARCH LN. STOCKTON, CA 95204 <br /> STOCKTON, CA 952U4 <br /> OWNER : SATELLITE HEALTHCARE <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0250340---Date of Invoice: 1/30/2014 VIII III VIII VIII VIII VIII VIII VIII VIII VIII VIIII IIIIII VIII IIIIIIII <br /> 1/30/2014 1921 HMBP-Regular-Primary Location $ 255.00 <br /> 1/30/2014 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/30/2014 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total for this Invoice $ 503.00 <br /> Payment Due Date 3/1/2014 <br /> TOTAL DUE this Billing Period $ 503.00 <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 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> '_23 rpt <br />