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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPART&T • <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD AR0016755 <br /> Facility ID FA0009755 <br /> Date Printed 1/24/2005 <br /> liommmmommomome <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 /> Health Amount <br /> Date Program Description_ <br /> Invoice# IN0129293---Date of Invoice : 1/24/2005 IIIIIIII IIIIII III VIIIIIIIIIIIII IIIIIIIIII VIII IIIIIIIIII VIII IIIIIIIIII VIII IIII IIII <br /> $ 200.00 <br /> 1/24/2005 2220 SM HW GEN<5 TONS/YR $ 300.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 24.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br /> Totalfor this Invoice $ 524.00 <br /> Payment Due Date 2/23/2005 <br /> TOTAL DUE this Billing Period <br /> PAYMENT <br /> RECEIVED <br /> FEB 1 7 2005 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <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 1 HMMP Fees <br /> For all SERVICE FEES <br /> at the Rate of a %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 /> :1551p1 <br />