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SAN JOAOUIN COUNTY PUBLIC HEALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209468-3420 <br /> INVOICE AccountlD AR0016975 <br /> Facility ID FA0009975 <br /> Date Printed 5/30/00 <br /> ANNE GAUTHIER RE: WINSTON TIRE CO#183 <br /> WINSTON TIRE CO#183 1648 E HAMMER LN <br /> 900 W ALAMEDA AVE STOCKTON CA 95210 20 <br /> BURBANK CA 91506 <br /> OWNER: OLIVER&WINSTON <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0070531---Date of Invoice: 4119/00 <br /> 4/19/2000 2220 SM HW GEN<5 TONSNR $100.00 <br /> 4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date 6/29/200.0_ <br /> TOTAL DUE this Billing Period $110.00 <br /> Please make Checks PAYABLE to: PHS/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 aft or the Due Date 60 Days after the Invoice Date and each 30thereafter <br /> PA AOtE.A`9 A <br /> RECER "' <br /> MAY 3 02000 <br /> SAN JOAQUIN . <br /> PUBLIC HEALTH:L <br /> ENVIRONMENTAL HEALTh utvl9r <br /> 57.5.5 m1 <br />