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PUBLIC HEALTH SERVICES - ENVIRONMENTAL HEALTH DIVISION UNDERGROUND STORAGE TANK PROGRAM UGST BILLING AUDIT DATE: 01/27/92 SITE NAME:KHALDOUN AND NAURI EXXSWEEPS #: 1059 ADDRESS: 701 E. CHARTER COMP #: KHALD70 RUNNING DATE TRANSACTION BILLED CREDITED SUBTOTAL SUBTOTAL **************************************************************************** 1986 SITE FEE $100.00 $100.00 TANK 1 $50.00 $150.00 TANK 2 $50.00 $200.00 STATE SURC $56.00 $256.00 STATE SURC $56.00 $312.00 $312.00 $312.00 6/26/86 PAID $312.00 $0.00 $0.00 $0.00 1987 SITE FEE $100.00 $100.00 TANK 1 $50.00 $150.00 TANK 2 $50.00 $200.00 $200.00 $200.00 4/16/87 PAID $200.00 $0.00 $0.00 $0.00 1988 SITE FEE $100.00 $100.00 TANK 1 $50.00 $150.00 TANK 2 $50.00 $200.00 $200.00 $200.00 1/25/88 PAID $200.00 $0.00 $0.00 $0.00 1989 SITE FEE $100.00 $100.00 TANK 1 $50.00 $150.00 TANK 2 $50.00 $200.00 $200.00 $200.00 1/12/89 PAID $200.00 $0.00 $0.00 $0.00 1990 SITE FEE $100.00 $100.00 TANK 1 $50.00 $150.00 TANK 2 $50.00 $200.00 $200.00 $200.00 1/1/90 PAID $200.00 $0.00 $0.00 $0.00 1991 TANK 1 $170.00 $170.00 TANK 2 $170.00 $340.00 STATE SURC $56.00 $396.00 STATE SURC $56.00 $452.00 PENALTY $170.00 $622.00 PENALTY $170.00 $792.00 $792.00 $792.00 3/22/91 PAID $452.00 $340.00 $340.00