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sAN JOA(1UlN COUNTY PUBLIC 11EALlil SERVICLS Report 15255 <br /> ENV.IrPONMF.NTAL HEALTH DIVI N Statent Printed : 05/20/99 <br /> 304 E WEBER AVENUE — 3RD (WOR <br /> STOCKTON , CA 95202 <br /> Accounting Office : 209 468-3420 <br /> ' :[: ra <br /> TO : WILSON WAY .TIRE CO INC <br /> 221 N WILSON WAY —Ac — —'— <br /> count N 0016755 <br /> STOCKTON , CA 95205 —' <br /> ATTN : PAUL BRINK Facility ID 00975 <br /> RE : WILSON WAY TIRE CO INC <br /> 221 N WILSON WAY- <br /> STOCKTON ' <br /> AYSTOCKTON ' <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Date Description Hrs Employee Amount. <br /> Invoice 11 056920 — Date of Invoice : 05/18/99 <br /> 05/18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE ----u—$18`50 <br /> ------------------------- <br /> Total for this invoice : $18 . <br /> Payment DUE DATE 0 0J99 <br /> If this INVOICE has been Paid, Please Oisregard this Notice <br /> 19oice M 059100 -- Date of Invoice: 05/18/99 <br /> 05/18/99 2399 UNIFIED PROGRAM FAC STAT" SERVICE FEE <br /> 05/18/99 2220 SM HW GEN (5 TONS/YR 0 . 00 <br /> Total110this invoice : 110 . <br /> Payment DUE DATE 06799 <br /> If this INVOICE has been Paid, Please Disregard this Notice <br /> JUL. lZ9 <br /> _______________'_ _____________far al1.SERVICE FEES penalties will <br /> USED OIL ONLY <br /> Facility Name: W 1t_SDy Wty -rag <br /> t Facility Street Address: �o U I Al, L(//4S[3>(-) U/,0Z <br /> City: `fb 7o40 <br /> Contact Person: A&,1A 'ekAtll( Phone: X09 y6�-CZZSJ <br /> I certify that the only hazardous waste generated by the above referenced Facility is USED <br /> OIL and that the total amount generated per year is less t n 5 tons. <br /> Signed: �,�/' <br /> A Division of San Joaquin County Health Care Services <br />