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.::;AN ,1OAQUIN COUNTY PUBLIC HEAL--IH SERVICES Report tS[55 I <br /> ENVIRONMENTAL HEALTH DIVI409 State Pr intec:l , 05/20 /99 <br /> 304 E WEBER AVENUE - 3RD <br /> S,TOCKTON , CA 95202 <br /> Accounting Office : 209 468--3420 ` <br /> :II::. N•� *«.. cap .:�:.-e^.::• �::� 1 , <br /> T0: A7AY RANCHHOD <br /> PO BOX 400 ` Account if 0017931 <br /> FRENCH CAMP , CA 95231 <br /> ATTN : AMERICAN TIRE & TOW Facility ID � 010931� <br /> RE : AMERICAN TIRE & TOW <br /> 8288 S EL DORADO ST ) <br /> FRENCH CAMP 1 <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> i <br /> Service Activity <br /> Date Description Hrs Employee Amount j <br /> Invoice # -058033 Date of Invoice : 05/18/99 <br /> 05/18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FETE $18 . 50 ! <br /> - r + • M______-- <br /> Totalfor thisinvoice : 18 . 50 I� <br /> Payment DUE, DATE 06/20/99 <br /> If this INVOICE has bFen Paid, Plaase OisreCard this Notice <br /> i <br /> Iioice # 060242 -- Date of Invoice: 05/18/99 <br /> 05/18/99 2220 SM HW GEN <5 TONS/YR $100 . 00 I <br /> 05/18/99 2399 UNIFIED PROGRAM FAG STATE SERVICE�FEE 00 <br /> r»---TTr ---`-__ -__ $10_ <br /> Total for-this invoice: .$110 .00 � <br /> I <br /> Payment: DUE DATE 06/20/99 } <br /> If this INVOICE has been Paid, Please Disregard this Notice II <br /> For all SERVICE FEES penalties will <br /> Penalties will be added on all Permits be added at the rate of lit 66 days <br /> at the rate of 100$ of the Rase Fee 30 past invoice date and each 31 days <br /> days after the due date, r, -- thereafter, <br /> TOTAL DUE $128.50 <br /> $128 50 <br /> P1 ease makeCI+c�C+t 3 PAiY 81 4 to: PFiS/EH•D r � ),. (I <br />