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SAN JOAQUIN COUNTY •TH DEPART NT Page 1 <br /> ENVIRONMENTAL HEAL <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0016840 <br /> 2� �3 Facility ID FA0009S40 <br /> Date Printed 4/29/2013 <br /> WEST LANE MUFFLER& PERFORMANC RE: WEST LANE MUFFLER& PERFORMANCE <br /> <br /> STOCKTON, CA 95204 <br /> OWNER ; TRAN,QUYEN <br /> Health <br /> Date Program Description Amount <br /> Invoice# IN0236049--Date of Invoice: 2/11/2013 IIIIIIIIIIIIIIIIIIIIIIIIIII11IIIINIIIIIIII11IIIIIIIIIIIIIIIIIIII1IIIIIIIIIIIIIII1 <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 /> Total for lhle Involea $ 315.50 <br /> Payment Due Date 313/2013 <br /> TOTAL DUE this Billing Period $ 315.50 <br /> PA`�ff D U E <br /> Delinquent charges <br /> .I- will be forwarded to <br /> :. ln.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 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 /> 5254.rpt <br />