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—"I '� UUIN UUUNTY <br /> ENVIRONMENTAL HEALTH DEPARTP NT <br /> 304 E WEBER AVE - 3RD FLOOR Page 1 <br /> STOCKTON, CA 95202 <br /> Phone: (209) 46&3420 <br /> INVOICE Account ID AR0024355 <br /> Facility ID F FA0014331 <br /> ,gip 1 Dale Printed 9/9/2004 <br /> WHEEL WORKS O t �/ RE : WHEEL WORKS <br /> SA N JOSE, CA 95110 S FIRST ST �A@ u 420 W LODI AVE <br /> SA <br /> LODI, CA 95240 <br /> OWNER : TIRES PLUS <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0124007---Date of Invoice: 9/9/2004 IIIIII IIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII fill III <br /> 9/9/2004 2220 SM HW GEN c5 TONS/YR <br /> $ 200.00 <br /> Total for this Invoice $ 200.00 <br /> Payment Due Date 10/9/2004 <br /> ----------------------- <br /> TOTAL DUE this Billing Period $ 200.00 <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 DES/HMMP 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 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 255 rpt <br />