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J/11\ JV/lY(VII\ VVVIY 1 1 t` I <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE 1 3 g Account ID AR0024697 <br /> Facility ID FA0014523 <br /> Date Printed 4/28/2010 <br /> lommommommoomms <br /> MARK HA RE : THANH AUTO REPAIR <br /> THANH AUTO REPAIR 1402 BOURBON ST <br /> 1402 BOURBON ST STOCKTON, CA 95204 <br /> STOCKTON, CA 95204 <br /> OWNER : HA, MARK <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0199272---Date of Invoice : 2/212010 I IIII III III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII 111111111111111 1111 <br /> 2/1/2010 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 2/1/2010 2244 2010 HAZMAT FEE $ 115.00 <br /> 2/1/2010 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 2/1/2010 ERSC ELECTRONIC REPORTING SURCHARGE $ 25.00 <br /> 3/20/2010 9987 Haz Mat Program Penalty Fee $ 11.50 <br /> 4/15/2010 9994 PERMIT FEE PENALTY $ 213.00 <br /> Total for this Invoice $ 601.50 <br /> Payment Due Date 314/2010 <br /> TOTAL DUE this Billing Period $ 601.50 <br /> Delinquent ri al'oea <br /> Will bo 1"OI'�`+�s?f C: e o <br /> ECOL"Lr C'' V1,0 `S <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 />