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OMINljVM vlll �UUry I r Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTME§ • <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0016291 <br /> Facility ID FA0009291 <br /> Date Printed 4/28/2010 <br /> Immummmmomomms <br /> TEDS WELDING & REPAIR RE : TEDS WELDING & REPAIR <br /> PO BOX 726 8932 E HWY 12 <br /> VICTOR, CA 95253 VICTOR, CA 95253 <br /> OWNER : G WILLIAM BRAUN <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0194558--Date of Invoice: 10/21/2009 IIIIIIIIIiIII VIIVIIIVIIIIVIIIIIIIIIIIIIIIIIIIIVII IIIIIII <br /> Hrs Employee <br /> 9/8/2009 2220 306-FOLLOW UP FOR NON-COMPLIANCE 0.50 CACAPIT $ 57.50 <br /> 9/22/2009 2220 306-FOLLOW UP FOR NON-COMPLIANCE 0.10 CACAPIT $ 11.50 <br /> 1/15/2010 9988 SERVICE CHARGE PENALTY $ 5.75 <br /> 1/15/2010 9988 SERVICE CHARGE PENALTY $ 1.15 <br /> 2/15/2010 9988 SERVICE CHARGE PENALTY $ 5.75 <br /> 2/15/2010 9988 SERVICE CHARGE PENALTY $ 1.15 <br /> 3/15/2010 9988 SERVICE CHARGE PENALTY $ 5.75 <br /> 3/15/2010 9988 SERVICE CHARGE PENALTY $ 1.15 <br /> Total for this Invoicel $ 89.70 <br /> PAST DUE <br /> Invoice# IN0196860--Date of Invoice: 12/23/2009 1111111111111111111 E IIII VIII VIII VIII V111111111111111111INIIIIII 1111111111111 <br /> Hrs Employee <br /> 11/3/2009 2220 306-FOLLOW UP FOR NON-COMPLIANCE 1.00 CACAPIT $ 115.00 <br /> 3/15/2010 9988 SERVICE CHARGE PENALTY $ 11.50 <br /> 4/15/2010 9988 SERVICE CHARGE PENALTY $ 11.50 <br /> Total for this Invoice $ 138.00 <br /> PAST DUE <br /> Invoice# IN0197729---Date of Invoice: 21212010 I(IIIIII IIIIII III Iilll111111111111111(IIII(IIII 1111111111111111111111111111 IN <br /> 2/1/2010 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 2/1/2010 2244 2010 HAZMAT FEE $ 285.00 <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 $ 28.50 <br /> 4/15/2010 9994 PERMIT FEE PENALTY $ 213.00 <br /> Total for this Invoical $ 788.50 <br /> CAST _D Payment Due Date 3/4/2010 <br /> Delinquent ctli: l gess TOTAL DUE this Billing Period $ 1,016.20 <br /> Will be ion-yarded to <br /> COC LEr-71, ' 3 <br /> ire 30 days. <br /> 5254.rpt <br />