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SAN JOAQUN COUNTY 0 . Page <br /> ENVOONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0038798 <br /> Facility ID FA0021433 <br /> Date Printed F-1/3-0-12-01-4 - <br /> 1/3012014 <br /> LMMMOMEMMMOOM <br /> S.D.S II AUTO REPAIR&TRANSMI RE : S.D.S II AUTO REPAIR&TRANSMISSION <br /> 3805 N WEST LN #B2 3805 N WEST LN#B2 <br /> STOCKTON,CA 95204 STOCKTON, CA 95204 <br /> OWNER: SON NGUYEN <br /> Date Health Amount J <br /> Program Description <br /> Invoice# IN0250353---Date of Invoice: 1/3012014 IIIIIIIIIIIIIIIIIIIIII VIII VIII VIII VIIIVIIIIIIIIIIIIIIIIII/IIIIIIIII VIII/III/III <br /> $ 85.00 <br /> 1/30/2014 1920 HMBP-Common Materials $ 213.00 <br /> 1/30/2014 2220 SM HW GEN<5 TONS/YR $ 35.00 <br /> 1/30/2014 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br /> Totalfor this Invoice $ 333.00 <br /> Payment Due Date 3/112014 <br /> TOTAL DUE this Billing Period $ 333.00 <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 /> 5254.rpt <br />