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COPY <br />Account ID <br />Facility ID <br />Date Printed <br />AR0044270 I <br /> <br />FA0023872 <br />4/26/2017 k <br />RE: PAPADAKIS, NATHANIEL <br />18 E ELEVENTH ST <br />TRACY, CA 95376 <br />• <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Phone: (209) 468-3420 <br />INVOICE <br /> <br /> <br /> <br />Page 1 <br />OWNER: PAPADAKIS, NATHANIEL <br />Date Health <br />Program Description Amount <br />Invoice # IN0291947 --Date of Invoice: 4/11/2017 11111111111111101111111111111111111111111111111111101 1111111111011111101111111 <br />Hrs Employee <br />3/10/2017 2903 523- PLAN CHECK (3 hr min) 0.50 KITH 69.50 <br />3/17/2017 2903 523- PLAN CHECK (3 hr min) 1.00 KITH 139.00 <br />3/29/2017 2903 523- PLAN CHECK (3 hr min) 1.00 KITH 139.00 <br />4/11/2017 2903 WORKPLAN/REPORT PLAN CHECK - OTHER AGENC' 417.00 <br />4/11/2017 2905 SOIL BORING / PROBE - SITE MITIGATION 139.00 <br />4/11/2017 2905 SOIL BORING / PROBE - SITE MITIGATION 278.00 <br />4/11/2017 9999 PAYMENT ($ 973.00) <br />Total for this Invoice 208.50 <br />Payment Due Date 5/26/2017 <br />TOTAL DUE this Billing Period <br />5RoD761. 76 <br />,c4-cr1/4-) 77)4( <br />PAA c'-ax-51'11 <br />$ 208.50 <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% <br /> 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