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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTNW Page 1 <br /> 600 E MAIN STREET 40, <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Accountr) AR0016644 <br /> lummmmmmmmmme <br /> Facility ID FA0009644 <br /> Date Printed IF 1/28/2008 <br /> COX BROS TIRE SERVICE RE : COX BROS TIRE SERVICE <br /> 507E 11TH ST 507 E 11TH ST <br /> TRACY, CA 95376 TRACY, CA 95376 <br /> OWNER : BREITSTEIN, EARL <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0170285...Date of Invoice: 1/2512008 IIIIIIII III VIII VIII VIII VIII VIII IIIIIIIII VIII VIIIA IIIIII VIII IIII IIII <br /> 1/25/2008 2220 SM HW GEN<5 TONS/YR IS 213.00 <br /> 1/25/2008 2244 2008 HAZMAT FEE IS 100.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoicel $ 337.00 <br /> Payment Due Date 2/27/2008 <br /> TOTAL DUE this Billing Period $ 37. ) <br /> REC V D <br /> FEB 2 6 2uuu <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <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 OES/HMMP Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt <br />