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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Phone: (209) 468-3420 <br />INVOICE COPY <br />KITTY GREEN <br />WILSON WAY TIRE INC <br />221 N. WILSO W� ' <br />STOCKTON, 1952 5562� <br />Page 1 <br />Account ID <br />AR0016755 <br />Facility ID <br />FA0009755 <br />Date Printed <br />9/27/2018 <br />RE: WILSON WAY TIRE CO INC <br />221 N WILSON WAY <br />STOCKTON, CA 95205 <br />OWNER: ANTHONY MATTIOLI <br />Date Health <br />Program Description Amount <br />Invoice # IN0312405 --- Date of Invoice : 9/26/2018 <br />9/26/2018 <br />1920 <br />HMBP-Common Materials <br />9/2612018 <br />1922 <br />CERS Processing Fee <br />9/26/2018 <br />2227 <br />GEN 13<25 TONS PERMIT <br />9/26/2018 <br />2399 <br />UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />jo-10-18 <br />I IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII <br />VIII <br />$ <br />IIII IIIIII VIII IIII IIII <br />132.00 <br />$ <br />30.00 <br />$ <br />1,949.00 <br />$ <br />49.00 <br />Total for this Invoice <br />$ <br />2,160.00 <br />Payment Due Date <br />10/27/2018 <br />$ <br />2,160.00 <br />TOTAL DUE this Billing Period <br />Note . ZJi l son LJay Tire sold on March 4, 2018 <br />lie W Com pan y Marne <br />Owner's Warne <br />Monajer <br />PdJress <br />Ph on e <br />Tires birecf <br />Naveed Asghar <br />George Bann o- <br />(209) 939 - 9330 <br />010 6cl0-7010 <br />31,58 Tan swz)PId briue <br />V ocX lon , CA ?5201, <br />(2oO?'3y-93.30 <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 HMBP Fees For all SERVICE FEES <br />at the Rate of 100% of the Base Fee Penalties will be added at the Rate of 10% Penalties will be added at the Rate of 10% <br />30 Days after the Due Date 60 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br />5254.rpt <br />