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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMr"7 Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> 000285-8 <br /> LONOMMMMMONOMMA <br /> Facility ID FA000 2284 <br /> LOOMMOMMOMMEEM <br /> Date Printed 9/24/2008 <br /> LAL, JOGINDER RE : FOOD MART GASOLINE* <br /> FOOD MART GASOLINE* 2185 E FREMONT ST <br /> 2185 E FREMONT ST STOCKTON, CA 95205 <br /> STOCKTON, CA 95205 <br /> OWNER : LAL,JOGINDER <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0179973--Date ofInvoice: 9/23/2008 11111111111111111111 IN 111111111111111111111111111111111111111 IN <br /> Hrs Employee <br /> 8/8/2008 2361 306-FOLLOW UP FOR NON-COMPLIANCE 0.50 CACAPIT $ 52.50 <br /> 8/8/2008 2220 306-FOLLOW UP FOR NON-COMPLIANCE 0.50 CACAPIT $ 52.50 <br /> Total for this Invoicel $ 105.00 <br /> Payment Due Date 10124/2008 <br /> TOTAL DUE this Billing Period $ 105.00 <br /> PEOEIVEfl <br /> OCT 21 2008 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> Please make Checks PAYABLE to: THU — Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For DES I 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 thereafter <br /> 5254.rpt <br />