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SAN 4,4AQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPART#T <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> Account ID AR0017931 <br /> INVOICE . <br /> Facility IDAF 0010931 <br /> Date Printed 1 2/27/2003 <br /> AMERICAN TIRE &AUTO REPAIR RE : AMERICAN TIRE &AUTO REPAIR <br /> P.O. BOX 778 8288 S EL DORADO ST <br /> FRENCH CAMP, CA 95231 FRENCH CAMP, CA 95231 <br /> OWNER : LANG, NICK M &JOHN F,TTEE <br /> Health <br /> Date D-ngrarn Descriotion Amount_ <br /> Invoice# IN0103922--Date of Invoice: 2/27/2003 <br /> 2/27/2003 2220 SM HW GEN<5 TONS/YR S 200.00 <br /> 2/27/2003 2244 2003 HMMP Annual Fee S 115.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> Total for this Invoice $ 332.50 <br /> Payment Due Date 3/29/2003 <br /> TOTAL DUE this Billing Period $ ' l 332.5 <br /> PAYMENT <br /> REGI`e\/EO <br /> MAR 2 7 2003 <br /> SAN JOAQUIN COUNTY <br /> ENt'iPU60C HEALTH SERVICES <br /> RONMFN AJ kFAI TH 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 /> 5Z5j.rpt <br />