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SAN JOAQUIN GUUNTY <br />ENVIRONMENTAL HEALTH DEPARTMEP <br />1,568 E I AZELTON AVENUE <br />STOCKTON, CA 95205 <br />Phone: (209) 468-3420 <br />INVOICE <br />SANTIAGO, JORGE <br />TOYO OF STOCKTON <br />4444 FEATHER RIVER DR <br />STOCKTON, CA 95219 <br />Page 1 <br />Account ID <br />AR0040729 <br />Facility ID <br />FA0022309 <br />Date Printed <br />4/30/2014 <br />RE: TOYO OF STOCKTON <br />4113NWEST LNA <br />STOCKTON, CA 95204 <br />OWNER: SANTIAGO, JORGE <br />Date Health <br />Program Description Amount <br />Invoice * IN0252125 --- Date of Invoice : 4/3012014 <br />4/30/2014 1920 HMBP-Common Materials — Current year + 1 year prior <br />4/30/2014 2220 SM HW GEN <5 TONS/YR <br />4/30/2014 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />IIIIIIIIIIIII III VIII VIII VIII VIII VIII VIII VIIIVIIVIII IIII IIIIII VIII IIII IIII <br />$230.00 <br />$213.00 <br />$35.00 <br />Total for this Invoice $478.00 <br />Payment Due Date 5/30/2014 <br />TOTAL DUE this Billing Period $ 478.00 <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 />2�4 rnt <br />