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SAN JOAQUIN COUNTY PUBLIC hfEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIV— TON Report 15255 <br />304 E WEBER'AVENUE -- 3RD)7iL00R Sr ement Printed: 05/20/99 <br />STOCKTON, CA 95202 <br />Accounting Office: 209 468-3420 <br />.J.. <br />TO: WAL—MART TIRE <br />& LUBE EXPRESS <br />For all SERVICE FEES penalties will <br />3702 E HAMMER <br />STOCKTON, CA <br />LN <br />95212 <br />— <br />Account # <br />— - <br />0016727 <br />ATTN: RICKEY ROBERTSON <br />Facility ID <br />past invoice date and each 30 days <br />RE: SIAL—MART TIRE <br />& LUBE EXPRESS <br />—009727— <br />3-702 E -+i A M M F P, <br />LN <br />Period: <br />STOCKTON <br />TOTAL DUE this <br />Billing <br />Date Description <br />PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br />Service Activity <br />Hrs Employee Amount <br />Invoice # 059072 -- Date of Invoice: 05/18/99 <br />05/18/99 2399 UNIFIED PROGRAM FAC STATE: SERVICE FEE 4,10,0© <br />05/18/99 2220 SM HW GEN {5 TONS/YR °100 00 <br />If this INVOICE has been Paid, Please Disregard this Notice <br />Total for this invoice: $110.0 <br />Payment DUE DATE <br />For all SERVICE FEES penalties will <br />Penalties will be added on all Permits <br />PAYMENT <br />be added at the rate of 10% 60 days <br />at the rate of 100% of the Base Fee 30 <br />P p:C j761fm n <br />past invoice date and each 30 days <br />days after the due date. <br />thereafter. <br />JUIN 1 '� "i9 <br />Period: <br />TOTAL DUE this <br />Billing <br />Please make <br />Checks PAYAB--Ce <br />tb: PHS/EHD <br />