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,SAN JOAOUIN COUNTY PUBLIC--ZALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209-468-3420 <br /> INVOICE Account ID I AR0017341 <br /> FA0010341 <br /> Facility ID <br /> Date Printed 2/1/01 <br /> KM BOWLES RISK MGMT DEPT RE : KRAGEN AUTO PARTS#1144 <br /> KRAGEN AUTO PARTS#1144 6404 PACIFIC AVE <br /> <br /> OWNER : CSK AUTO INC <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0080596...Date of Invoice: 1130/01 <br /> 1/30/2001 2220 SM HW GEN<5 TONS/YR $100.00 <br /> 1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date 3/3/2001 <br /> TOTAL DUE this Billing Period $Y1U <br /> Please make Checks PAYABLE to : PHS/EHD / Return a Copy of This STATENTENT 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 thereafter <br /> RW.M.ENT <br /> RECEIVED <br /> FCB 2 6 2001 <br /> rul INTY <br /> 5255.rpt <br />