Laserfiche WebLink
Office of Emergency Services <br /> H.�rdous Materials Program <br /> Billing Error Report <br /> BUSINESS INFORMATION <br /> ACCOUNT# 4868 <br /> BUSINESS NAME I HALEY BROS INC PHONE 209-948-5358 <br /> SITE ADDRESS 2651 E ROOSEVELT ST MAILING ADDRESS HALEY BROS INC <br /> STOCKTON, CA 95205 ATTN CARLOS VIZCARRA <br /> 2651 E ROOSEVELT ST <br /> STOCKTON CA 95205 <br /> BUSINESS CONTACT ICARLOS VIZCAPRA <br /> BILLING ERROR DETAILS <br /> CURRENTYEAR 1998 BILLING YEAR THAT ERROR 1997 TYPE OF ERROR I BILLABLE CHEMICALS <br /> WAS MADE <br /> NATURE OF ERROR AND POLYETHYLENE FILM COUNTED AS A CHEM,SHOULD HAVE BEEN EXEMPT AS PER <br /> HOW DISCOVERED ADMIN HANDBOOK EXEMPTIONS./DISCOVERED DURING AUDIT <br /> ORIGINAL AMOUNT BILLED: <br /> ANNUAL FEE: BASE FEE 1$240.00 BILLABLE CHEMICALS 7� <br /> OTHER CHARGE: ($15 EACH) TOTAL $345.00 <br /> CORRECTCHARGE: <br /> ANNUAL FEE: BASE FEE 1$240.00 BILLABLE CHEMICALS <br /> ($15 EACH) TOTAL $330.00 <br /> OTHER CHARGE: <br /> AMOUNT OF ERROR $15.00 <br /> APPROVAL AND PAYMENT DETAILS <br /> DATE REPORT COMPLETED ® COMPLETED BY <br /> SUPERVISOR'S APPROVAL: <br /> DATE CHECK/AMENDED BILL SENT <br /> OTHER ACTIONS TAKEN <br /> • 7/98 <br />