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SAN JOAQUIN COUNTY ENJ/IRONMENTAL HEALTH DEPARTMENT Page 1 1868 E HAZELTON AVENUE STOCKTON, CA 95205 Phone: (209)468-3420 INVOICE, COPY Account ID AR0025030 Facility ID FA0014723 Date Printed 11/27/2019 SINGH, RANDHIR-PRESIDENT RE : WHITE HAWK, INC K INC Date Health Program Description Amount Invoice# IN0324134---Date of Invoice: 7/25/2019 I IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII Hrs Employee 6/25/2019 1920 306-FOLLOW UP FOR NON-COMPLIANCE 0.50 LOPEZ $ 76.00 10/15/2019 9988 SERVICE CHARGE PENALTY $ 7.60 11/15/2019 9988 SERVICE CHARGE PENALTY $ 7.60 Total for thislnvoice $ 91.20 PAST DUE Invoice# IN0325104---Date of Invoice: 8/29/2019 I IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII Hrs Employee 7/22/2019 1920 306-FOLLOW UP FOR NON-COMPLIANCE 0.50 LOPEZ $ 76.00 11/15/2019 9988 SERVICE CHARGE PENALTY S 7.60 Total for this Invoice $ 83.60 Payment Due Date 9/28/2019 Invoice# IN0328128---Date of Invoice: 9/26/2019 I IIIIIII IIIIII III VIII(IIII(IIII VIII(IIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII 9/26/2019 1920 HMBP-Common Materials S 149.00 9/26/2019 1922 CERS Processing Fee S 30.00 9/26/2019 2220 SM HW GEN<5 TONS/YR $ 249.00 9/26/2019 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 49.00 Total for this Invoice $ 477.00 Payment Due Date 10/27/2019 Invoice# IN0330581 ---Date of Invoice: 10/29/2019 I IIIIIII IIIIII III VIII(IIII VIII VIII VIII VIII(IIII(IIII VIII IIII IIIIII VIII IIII IIII Hrs Employee 9/4/2019 1920 306-FOLLOW UP FOR NON-COMPLIANCE 0.30 LOPEZ S 45.60 9/6/2019 1920 306-FOLLOW UP FOR NON-COMPLIANCE 2.30 LOPEZ $ 349.60 Total for this Invoice $ 395.20 Payment Due Date 11/30/2019 TOTAL DUE this Billing Period $ 1,047.00 25+.rpt