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03/31/2003 11:40 464013P SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 304 E WEBER AVE - 3RD FLOOR STOCKTON, CA 95202 Phone: (209) 468-3420 INVOICE WAL-MART STORES INC #2025 3010 W GRANT LINE RD TRACY, CA 95304 ENVIRONMENTAL HFALTH PAGE 01 Page 1 Account ID AR0009046 Fadlrrty iDFA0006687 Date Printed 3127/2003 RE : W�ALMART #1554 3702 E HAMMER LN STOCKTON, CA 95212 OWNER WALMART, INC RECE 41 E1 SPR 112003 SAN JOAQUIN FNopF;BL PUBLIC4fHEALTH ERVI ES 41 FfF:V TP r n,ISI(P! Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT Penalties will be added to all Permit Fees For OES / HMMP Fees For all SERVICE FEES at the Rate of 100% of the Base Fee Penaltles will be added at the Rate of 10•/ Penalties will be added at the Rate of 10% 30 Days after the Due Date 45 Days after the Invoice Data 60 lays after the Invoice Date and each 30 Days 0 5255.rpt Health Date Program Description Amount Invoice # IN0104035 — Date of Invoice : 2/27/2003 2/27/2003 2220 SM HW CEN <5 TONS/YR $ 200.00 2/27/2003 2244 2003 HMMP Annual Fee $ 330.00 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE S 17.50 Total for this Involcel $ 547.50 Payment Due Date 3!2912003 $ 547.50 TOTAL DUE this Billing Period RECE 41 E1 SPR 112003 SAN JOAQUIN FNopF;BL PUBLIC4fHEALTH ERVI ES 41 FfF:V TP r n,ISI(P! Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT Penalties will be added to all Permit Fees For OES / HMMP Fees For all SERVICE FEES at the Rate of 100% of the Base Fee Penaltles will be added at the Rate of 10•/ Penalties will be added at the Rate of 10% 30 Days after the Due Date 45 Days after the Invoice Data 60 lays after the Invoice Date and each 30 Days 0 5255.rpt