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SAN JOAQUIN COUNTY PUBLIC HF A LTH SERVICES Page 1 <br />EN',00NMENTAL HEALTH DIVIS,,',! <br />304 E WEBER AVE - 3RD FLOOR <br />STOCKTON, CA 95202 <br />209-468-3420 <br />INVOICE Account IDI AR0016727 <br />Facility IDI FA0009727 <br />Date Printed 4/25/00 <br />RICKEY ROBERTSON RE: WAL-MART TIRE & LUBE EXPRESS <br />WAL-MART TIRE & LUBE EXPRESS 3702 E HAMMER LN <br />3702 E HAMMER LN STOCKTON CA 952122820 <br />STOCKTON CA 95212 OWNER: WAL-MART STORES INC <br />Health <br />Date Program Description Hrs Employee Amount <br />Invoice # IN0070339 --- Date of Invoice : 4119100 <br />4/19/2000 2221 USED OIL ONLY - <5 TONS/YR <br />4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br />Total for this Invoice <br />Payment Due Date <br />$50.00 <br />$10.00 <br />$60.00 <br />5/25/2000 <br />TOTAL DUE this Billing Period $60.00 <br />i <br />Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYME T <br />Penalties will e added to all Permit Fees For a <br />ll SER VICE F -EE, <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 />�< ?✓�� 64a�2 <br />5255. rpt <br />�Af <br />& <br />�� H�SFgI,N�Y <br /><rync�sn� <br />