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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARUI • Page 1 <br /> 304E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD —AR-0 117 994 <br /> Facility ID FAO090994 <br /> LMNENNMNMWMEII <br /> Date Panted 2/27/2003 <br /> IMENEEMONMEMEMA <br /> B&B TIRE &SERVICE RE : B&B TIRE &SERVICE <br /> 600 W LOCKEFORD ST 600 W LOCKEFORD ST <br /> LODI, CA 95240 LODI, CA 95240 <br /> OWNER : L BRET DEBERRY <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0103943--Date of Invoice: 2/27/2003 <br /> 2/27/2003 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 2/27/2003 2244 2003 HMMP Annual Fee $ 85.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> Total for this Invoicel $ 302.50 <br /> Payment Due Date X3129/200033 <br /> TOTAL DUE this Billing Period $ 302,50 <br /> PAYMENT <br /> RECEIVED <br /> MAR 3 1 2003 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH 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 /> 5255.ryt <br />