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SAN JUAWUIN UUUN I T <br />ENVIRONMENTAL HEALTH DEPARTME <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />iNvoic COPY \'� <br />0 <br />Page 1 <br />Account ID AR0017087 <br />Facility ID FA0010087 <br />Date Printed 5/30/2012 <br />CATCHOT, SCOTT RE: U STRIP IT INC <br />U STRIP IT INC 3175 S HWY 99 W FRONTAGE RD <br />3175 S HWY 99 W FRONITAGE RD STOCKTON, CA 95215 <br />STOCKTON, CA 95215 <br />OWNER: CATCHOT, SCOTT <br />Date Health <br />Program Description Amount <br />Invoice# IN0223482 --- Date of Invoice: 1/30/2012 <br />1/27/2012 <br />2220 <br />SM HW GEN <5 TONS/YR <br />1/2712012 <br />2244 <br />2012 HAZMAT FEE PLUS 1 YEAR BACK BILLING <br />1/27/2012 <br />2399 <br />UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />1/27/2012 <br />ERSC <br />ELECTRONIC REPORTING STATE SURCHARGE FEE <br />3/15/2012 <br />9987 <br />Haz Mat Program Penalty Fee <br />5/2/2012 <br />9999 <br />PAYMENT <br />I IIIIIII IIIIII III VIII IIT VIII VIII IIIIII'/// IIT VIII Illll IIII <br />$ <br />IIIIII Illll IIII IIII <br />213.00 <br />$ <br />570.00 <br />$ <br />24.00 <br />$ <br />25.00 <br />$ <br />57.00 <br />($ <br />262.00) <br />Total for this Invoice 1 $ 627.00 <br />PAST DUE <br />TOTAL DUE this Billing Period $ 627.00 <br />Delinquent charges <br />will be forwarded to <br />C®LILECTPON s <br />. in 30 days. <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 DES / HMMP Fees <br />at the Rate,of.,100✓;of-the$pse„F,ee... ,..._... Penalties will be added at the Rate of 10% <br />30 Days after the Due Date 45 Days after the Invoice Date <br />For all SERVICE FEES <br />Penalties will be added at the Rate of 10% <br />60 Days after the Invoice Date and each 30 Days thereafter <br />