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SAN JOAQUIN COUNTY PUB- -C HEALTH SERVICES y Report #5255 <br /> ENVIRONMENTAL HEALTH C ISION -'atement Printed : 05/20/99 <br /> <br /> <br /> g Office : 209 468-3420 <br /> TO : MIRACLE AUTO PAINTING <br /> 1251 E BIANCHI RDAccount # 0016146 <br /> STOCKTON , CA 95210 35 <br /> ATTN : KEVIN A STRAW Facility ID 009146 <br /> RE : MIRACLE AUTO PAINTING <br /> 1.251 E BIANCHI RD <br /> STOCKTON <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Date Description Hrs Employee Amount <br /> Invoice # 056385 -- Date of Invoice: 05/18/99 <br /> 05/18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $18 . 50 <br /> -------------------------------------- <br /> Total for this invoice: 8. 50 <br /> Payment DUE DATE /2@/9 <br /> If this INVOICE has been Paid, Please Disregard this Notice <br /> Invoice # 058516 -- Date of Invoice: 05/18/99 <br /> 05/18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10 . 00 <br /> 05/18/99 2220 SM HW GEN <5 TONS/YR $100 . 00 <br /> --------------------------------- -- <br /> Total for this invoice : 110. 00 <br /> Payment DUE DAT06/20/9 <br /> 'L 1If this INVOICE has been Paid, Please Disregard this Notice #`TyV <br /> 22 <br /> +ITatjC <br /> N'-iC7:�1$��Afry <br /> MFli 1.►YF.A!T�llI ISI <br /> For all SERVICE FEES penalties will <br /> Penalties will be added on all Permits be added at the rate of 108 60 days <br /> at the rate of 1008 of the Base Fee 30 past invoice date and each 30 days <br /> days after the due date. thereafter. <br /> TOTAL DUE this Billing Period: — $128. 50 <br /> Please make Checks PAYABLE to: PHS/EHD <br />