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600 E MAIN STREET <br /> STOCKTON, CA 95202 ..1 <br /> Phone: (209)468-3420 G� COPY <br /> INVOICE �qi`� \RECEIVE® Account ID f AR0017933 <br /> Facility ID FA0010933 <br /> SAN <br /> OFFICE OF MERGENCCYU SERVICES NTY Date Printed 5/26/2011 <br /> CONTINENTAL MUFFLER RE : CONTINENTAL MUFFLER <br /> 230 E LODI AVE 230 E LODI AVE <br /> LODI, CA 95240 LODI, CA 95240 <br /> OWNER : OSORIO, HECTOR <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0210487---Date of Invoice: 1/28/2011 I�IIIIIIIIIII�IIIIIIIIIDVIIIIIII�I'IIVIVIIIIIIIIIIIIII�iVIIII'llllil <br /> Hrs Employee <br /> 12/20/2010 2220 306-FOLLOW UP FOR NON-COMPLIANCE 0.50 CACAPIT $ 61.00 <br /> 4/15/2011 9988 SERVICE CHARGE PENALTY $ 6.10 <br /> 5/15/2011 9988 SERVICE CHARGE PENALTY $ 6.10 <br /> Totalfor this Invoice $ 73.20 <br /> PAST DUE <br /> Invoice# IN0211174--Date of Invoice: 1/31/2011 IIIIIIIIIIIIillll llllllllllllllillllllllllilllllllllllllillllllllllllllllllllllllllll <br /> 1/28/2011 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/28/2011 2244 2011 HAZMAT FEE $ 100.00 <br /> 1/28/2011 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1/28/2011 ERSC ELECTRONIC REPORTING STATE SURCHARGE FEE $ 25.00 <br /> 3/20/2011 9987 Haz Mat Program Penalty Fee $ 10.00 <br /> 4/15/2011 9994 PERMIT FEE PENALTY � T O $ 213.00 <br /> 1 <br /> Delinquent Charge Total for this Invoice $ 585.00 <br /> will be forwarded to PAST DUE <br /> Invoice# IN0214979—Date of Invoice: 3129/2011 lc":1"ELECT I0p Nq 13 <br /> in 30 days. IIIIIIIIIIIIIIIIIIIIIIIIIIilllllllllllllllllllllllllllllllllllllllllllllllllllll <br /> Hrs Employee <br /> 2/9/2011 2220 306-FOLLOW UP FOR NON-COMPLIANCE 0.50 CACAPIT. $ 61.00 <br /> Total forNis Invoice $ 61.00 <br /> Payment Due Date 4129/2011 <br /> TOTAL DUE this Billing Period $ 719.20 <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 OES/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 /> 52>4.rpt <br />