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JHIV JUAWUIN I.UUN I Y <br /> ENV)RONIMENTAL HEALTH DEPARTM if Page 1 <br /> 304 E WEBER AVE -3RD FLOOR . <br /> STOCKTON, 95202 COPY <br /> Phone:e: (209(209)46 468-3420 <br /> INVOICE Account ID AR00167 5— <br /> Facility ID FA0009755 <br /> LVINEWMMMEMOMME <br /> Date Printed F 1/30/2006 <br /> LMMMMENOMMMMMINS <br /> WILSON WAY TIRE CO INC RE : WILSON WAY TIRE CO INC <br /> 221 N WILSON WAY 221 N WILSON WAY <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 <br /> OWNER : ANTHONY MATTIOLI <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0142814--Date of Invoice: 1/27/2006 1111111111111111111111111 IN 111111111111111 R <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 200.0 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 30.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ .4.00 <br /> Total for this lnvolce $ 524.00 <br /> Payment Due Date 31 <br /> TOTAL DUE this Billing Period $ 524.00 <br /> PA:yjV <br /> RFc �v`o <br /> FEB 2 3 Zoos <br /> S'4N 'JNQUTA,EN CQUNlY <br /> VIRON/"ENT <br /> H�t.TH f) "ENTAL <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 /> 5254.rpt <br />