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JAN JUAUUIN L;UUN I Y <br />ENVIRONMENTAL HEALTH DEPARTMF- �T <br />600 E MAIN STREET <br />STOCKTON, CA 95202 <br />Phone: (209) 468-3420 <br />INVOICE <br />PATRICK KELLY GENERAL MGR <br />TRACY CHEVROLET <br /> <br /> <br />Page 1 <br />COPY <br />Account ID <br />AR0017308 <br />Facility ID <br />FA0010308 <br />Date Printed <br />1 12/23/2010 <br />RE: TRACY CHEVROLET <br />3400 W AUTO PLAZA WAY <br />TRACY, CA 95376 <br />OWNER: Q & M INC <br />Date Health <br />Program Description Amount <br />Invoice # IN0209969 --- Date of Invoice : 12/23/2010 <br />Hrs <br />Employee <br />11/8/2010 2227 306 - FOLLOW UP FOR NON-COMPLIANCE 0.30 <br />RIVERA <br />$ <br />36.60 <br />11/12/2010 2227 306 - FOLLOW UP FOR NON-COMPLIANCE 0.10 <br />RIVERA <br />$ <br />12.20 <br />11/15/2010 2227 306 - FOLLOW UP FOR NON-COMPLIANCE 0.20 <br />RIVERA <br />$ <br />24.40 <br />Total for this Invoice <br />$ <br />73.20 <br />Payment Due Date <br />1/22 011 <br />TOTAL DUE this Billing Period <br />$ <br />73.20 <br />PAYMENT <br />RECEIVED <br />FEB - 7 2011 <br />SAN JOAQUIN COUNTY <br />ENVIROMENTAL <br />HEALTH DEPARTMENT <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 OES / HMMP 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 thereafte <br />5254.rpt <br />