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SAN JOAQUIN COUNTY PUBLIC HE. 'H 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 AR0017341 <br /> Facility ID FA0010341 <br /> Date Printed4/25/00 <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# IN0070840--Date of Invoice: 4119100 <br /> 4119/2000 2220 SM HW GEN <5 TONS/YR $100.00 <br /> 4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date 512512000 <br /> TOTAL DUE this Billing Period $110.00 <br /> Please make Checks PAYABLE to : PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT' <br /> Penalties will ec 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 /> '993 fME"I <br /> Ii7,EGrlEN00) <br /> MAY 222000 <br /> SAN JOAQUIN COUNTY <br /> PUBUC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH ONISION <br /> 5255.rpt <br />