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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> lQ AccountlD AR0042237 <br /> INVOICE LEEMMMMMEMN <br /> �'�sq <br /> Facility ID FA0023022 <br /> Date Printed 2/26/2018 <br /> DANIELLE WRIGHT 'L` RE : J & E TRUCK SERVICE AND REPAIR, INC. <br /> PO BOX 7547 1483 W ANDERSON ST <br /> STOCKTON, CA 95267 YJ STOCKTON, CA 95206 <br /> OWNER : ALFRED WRIGHT <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0300650---Date of Invoice: 9/2612017 III IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII 11111 1111 IIII <br /> 9/26/2017 1921 HMBP-Regular-Primary Location $ 381.00 <br /> 9/26/2017 1922 CERS Processing Fee $ 25.00 <br /> 9/26/2017 2227 GEN 13Q5 TONS PERMIT $ 1,949.00 <br /> 9/26/2017 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 49.00 <br /> 12/15/2017 9987 Haz Mat Program Penalty Fee $ 38.10 <br /> 12/15/2017 9994 PERMIT FEE PENALTY $ 1,949.00 <br /> Total forth is Invoice $ 4,391.10 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 4,391.10 <br /> PAST DUE A <br /> Delinquent charges U' <br /> will be forwarded to <br /> COLLECTIONS <br /> in 30 days. <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.rpt <br />