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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTI W Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD A 0-016152 <br /> Facility ID FA00 99152 <br /> Date Printed 2/27/2003 <br /> IMEMOMMONOMMMA <br /> ASSOCIATED TRACTOR SVC INC RE : ASSOCIATED TRACTOR SVC INC <br /> 1323 W CHARTER WAY 1323 W CHARTER WAY <br /> STOCKTON, CA 95206-1110 STOCKTON, CA 95206-1120 <br /> OWNER : TOM BENTZ <br /> Date Health <br /> Proaram Description Amount <br /> Invoice# IN0103340--Date of Invoice: 2/27/2003 <br /> 2/27/2003 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 2/27/2003 2244 2003 HMMP Annual Fee $ 375.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> Total for this Invoical $ 592.50 <br /> Payment Due Date 3/29/2003 <br /> TOTAL DUE this Billing Period $ 592.50 <br /> PAYMENT <br /> RECEIVED <br /> MAR 2 6 2003 <br /> SAN JOAQUIN COUNTY <br /> €NVIA4VICES <br /> NMENTAL HEALHEALT DIVISION <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 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 Days thereafter <br /> 5255.rpt <br />