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.• SAN JOAOUIN COUNTY PUBLICLTH SERVICES • Page 1 <br /> ENVIRONMENTAL HEALTH DIV ON <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209468-3420 <br /> INVOICE AccountlD AR0017215 <br /> FA0010215 <br /> Facility ID <br /> Date Printed 2/1/01 <br /> KM BOWLES RE : KRAGEN AUTO PARTS#292 <br /> KRAGEN AUTO PARTS#292 411 E YOSEMITE AVE <br /> PO BOX 6030 MANTECA CA 95336 20 <br /> PHOENIX AZ 85005 OWNER: CSK AUTO INC <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0080491--Date of Invoice: 1130101 <br /> 1/30/2001 2220 SM HW GEN<5 TONS/YR $100.00 <br /> 1130/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Involce $110.00 <br /> Payment Due Date Q1 <br /> TOTAL DUE this Billing Period $110. 0 <br /> Please make Checks PAYABLE to: PHSIEHD / 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 30thereafter <br /> T <br /> RECE = <br /> FEB 2 6 2001 <br /> 5255.rpt <br />