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• i <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468.3420 <br /> INVOICE Account ID AR0003328 <br /> lommomwAMEMEMI <br /> Fatality ID FA0003749 <br /> Date Printed F 1130/2014 <br /> SJ REGIONAL TRANSIT RE: SJ REGIONAL TRANSIT <br /> PO BOX 201010 1533 E LINDSAY ST <br /> STOCKTON, CA 95201-9010 STOCKTON,CA 95205-4498 <br /> OWNER: SAN JOAQUIN REGIONAL TRANSIT <br /> -- - Date- - Health <br /> Program _ Description _.-_-_.. — - ____. ---- ..Amount <br /> Invoice# ING247325—Date of Invoice: 1/3012014 lullll111111INIIIIIINIIIIIIIIIIIIIII111111111l11111111111111111111111111111111 <br /> 1/30/2014 1921 HMBP-Regular-Primary Location $ 540.00 <br /> 1/30/2014 2227 GEN 5<25 TONS PERMIT $ 1,672.00 <br /> 1/30/2014 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total for thTs-1n—y`o­1c@—j 2,247.00 <br /> Payment Due Data 3/1/2014 <br /> TOTAL DUE this BIIIing Period $ 2,247.00 <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 HM BP 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 46 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt <br />