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SAN JOAOUIN COUNTY PUBLIC HEALTH SERVICES <br />` ENVIRONMENTAL HEALTH DIVIS411111411,10T <br />304 E WEBER AVE - 3RD FLOOR <br />STOCKTON. CA 95202 <br />209468-3420 <br />INVOICE <br />RICKEY ROBERTSON <br />WAL-MART TIRE & LUBE EXPRESS <br />3702 E HAMMER LN <br />STOCKTON CA 95212 <br />Health <br />Date Program Description <br />Invoice # IN0080084 --- Date of Invoice : 1/30/01 <br />1/30/2001 2221 USED OIL ONLY - <5 TONS/YR <br />1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br />5255. rot <br />Page 1 <br />AccountlD AR0016727 <br />Facility ID 00972-7-1 <br />Date Printed 3/30/01 <br />RE: WAL-MART TIRE & LUBE EXPRESS <br />3702 E HAMMER LN <br />STOCKTON CA 952122820 <br />OWNER: WAL-MART STORES INC <br />Hrs Employee Amount <br />$50.00 <br />Qin nn <br />Total for this Invoice $60.00 <br />Payment Due Date 3/2/2001 <br />TOTAL DUE this Billing Period$60.00 <br />Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYM <br />Penalties will be added to all Permit 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 />30 Days after the Due Date 60 Days after the Invoice Date and each 30 thereafter <br />PAYMEN 1 <br />RECEIVED <br />MAF, 3 o L�[;; 0 <br />SAN JOAQUIN COUNTY <br />PUBLIC HFALTFi SERVICES <br />ENVIR0NWFNT4j HFAITH[11VISION <br />