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SAN JOAQUIN COUNTY PUBLICAKALTH SERVICES <br /> ENV IRONPtEN-rA-L`HE-A-L-T-H_pZVI N Report 1625S <br /> 3O4 E WEBER AVENUE — 3RD F AOR Stent Printed : O5/2OJ99 <br /> STOCKTON , CA 95202 <br /> Accounting Office : 209 468-3420 <br /> TO : WINSTON TIRE CO #183 _ _ <br /> 900 W ALAMEDA AVE <br /> BURBANK , CA 91506 Account # WOO16975 <br /> ATTN : ANNE GAUTHIER <br /> FacilityYID 009975 <br /> RE : WINSTON TIRE CO #183 <br /> ___ --- <br /> 1648 E HAMMER LN <br /> S T 0 C K T-O N <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Date Description Hrs Employee Amount <br /> Invoice # 057121 -- Date of Invoice : 05/18/99 <br /> 05/18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $18 . 50 <br /> -------------------------------- <br /> Total for this invoice: $18.50 <br /> 0 <br /> If this INVOICE has been Paid, Please Disregard this Notice Payment DUE DATE <br /> Invoice # 059310 -- Date of Invoice : 05/18/99 <br /> 05/18/99 2220 SM HW GEN (5 TONS/YR $100 . 00 <br /> 05 /18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10 . 00 <br /> Totalforthis invoice : $110 . 00 <br /> Payment DUE DATE 9 <br /> if this INVOICE has been Paid, Please Disregard this Notice ?x1fTARIF- � F <br /> Qw 'a, .Qe <br /> UIN c<sW'� <br />•. SAN^NEALTy SErHInIV1SlON <br /> ptiB <br /> For all SERVICE FEE€WURSIss .,.: <br /> Penalties will be added on all Permits be added at the rate of 103 60 days <br /> at the rate of 1003 of the Base Fee 30 past invoice date and each 30 days <br /> days after the due date, thereafter. t <br /> TOTAL DUE this Billing Period : $128-50 <br /> Please make Checks PAYABLE to: PHS/EHD <br />