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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPAF 'ENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> <br /> <br /> unt ID AR0024504 <br /> INVOICE <br /> Facility ID FA0014424 <br /> Date Printed 12/6/2017 <br /> TRACY VOLKSWAGEN RE : TRACY VOLKSWAGEN <br /> CHRISSY TANK 2605 AUTO PLAZA WAY <br /> 2605 AUTO PLAZA WAY TRACY, CA 95304 <br /> TRACY, CA 95304 <br /> OWNER : TRACY VW INC <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0298854---Date of Invoice: 9/26/2017 I(IIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII 11111 <br /> IIII IIII <br /> 9/26/2017 1921 HMBP-Regular-Primary Location I$ 347.00 <br /> 9/26/2017 1922 CERS Processing Fee $ 25.00 <br /> 9/26/2017 2220 SM HW GEN<5 TONSNR <br /> $ 249.00 <br /> 9/26/2017 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 49.00 <br /> 12/6/2017 2226 GEN 5<13 TONS PERMIT <br /> $ 1,949.00 <br /> 12/15/2017 9997 CORRECTION TO A CHARGE <br /> ($ 249.00) <br /> Total for this Invoice $ 2,370.00 <br /> Payment Due Date 10/29/2017 <br /> TOTAL DUE this Billing Period $ 2,370.00 <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 60 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.j-pt <br />