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_—_—............._ � <br /> SAN JOAQU|NCOUNTY <br /> Page <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1O8DEHAZELTONAVENUE <br /> STOCKTON' CA 95205 <br /> Phone: (209)468-3420 <br /> N������N��@� Account ID�"� � �����°� <br /> Facility ID <br /> Date Printed <br /> COOPER OUT WEST RE : COOPER OUT WEST <br /> 18G3GEMILTON RD 11711EEIGHT MILE RD <br /> LINDEN, CA95238 STOCN7ON. CA95212 <br /> OWNER : COOPER OUT WEST <br /> te Amount <br /> Program Description <br /> mvoim# |wou^y000---Date mInvoice: oomco1* UV�UKU|U|U||UN|hUN|U|U|U|U|U|UUU|NU|AQ|N|NUUU|�U||UUU|||UN||�YU|0 <br /> 1o0/2014 1958 HM'Fonnonomuons $ 18.00 <br /> 1/30/2014 2220 nmnwGEN`nTOwSYn $ 213.00 <br /> 1/30/201* zoss UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ osoo <br /> Total for this Invoice $ 266.00 <br /> Payment Due Date 311/2014 <br /> TOTAL DUE this Billing Period * 266.00 <br /> Please make Checks PAYABLE to: 'EHo' — Return aCopy ofThis 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 /> 5z54.rpt <br />