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SAN,JOAQUIN 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 F AR00,sb4D <br /> 2� �3 Facility ID FA0009840 <br /> Date Printed4(29/2013 11 <br /> WEST LANE MUFFLER& PERFORMANC RE: WEST LANE MUFFLER&PERFORMANCE <br /> <br /> STOCKTON,CA 95204 <br /> OWNER : TRAN,QUYEN <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0236049-_Date of Invoice: 21112013 111111111111111111 Hill 11111111111111111111111111111111111111111111111111111111111 11T 11111111111 <br /> 2/1/2013 1921 HMBP-Regular-Primary Location $ 255.00 <br /> 2/1/2013 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> 4/15/2013 9987 Haz Mat Program Penalty Fee. $ 25.50 <br /> Totalforthle invoice $ 315.50 <br /> Payment Due Date 3/3/2013 <br /> TOTAL DUE this Billing Period $ 315.50 <br /> Delinquent charges <br /> will be forwarded to <br /> COLL.ECTMONS <br /> in 30 days. <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 HMSP Fees - For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 106/. 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 Data and each 30 Days thereafter <br /> 5254.rpt <br />