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JAN,JUAWUIIN UVUIN I T pajc 1 <br /> ENVIRONMENTAL HEALTH DEPARTME# • <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE � � g � Account ID ARoomo9 '� <br /> Facility ID FA0010109 <br /> Date Printed F 4/28/2010 <br /> RAMIREZ AUTOMOTIVE RE : RAMIREZ AUTOMOTIVE <br /> 811 N SACRAMENTO ST 811 N SACRAMENTO ST <br /> LODI, CA 95240 LODI, CA 95240 <br /> OWNER : JUAN RAMIREZ JR <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0194561 ---Date of invoice: 10121/2009 1IIIlII IIIIII Ill IIIII IIIIIIII IIIII IIIII IIIII IIIIIIIIII IIII IIIIII IIIII IIlI1lII <br /> Hrs Employee <br /> 9/8/2009 2220 306-FOLLOW UP FOR NON-COMPLIANCE 0.50 CACAPIT $ 57.50 <br /> 9/14/2009 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 9966 SERVICE CHARGE PENALTY $ 1.15 <br /> Total for this Invoice $ 89.70 <br /> PAST DUE <br /> Invoice# IN0196865---Date of Invoice: 12/23/2009 I IIIIIIi IIIIII III V II VIII V II V II'll/11111E IIII IIII IIIIII IIIII IIII IIII <br /> Hrs Employee <br /> 11/4/2009 2220 306-FOLLOW UP FOR NON-COMPLIANCE 0.50 CACAPIT $ 57.50 <br /> 11/10/2009 2220 306-FOLLOW UP FOR NON-COMPLIANCE 0.10 CACAPIT $ 11.50 <br /> 3/15/2010 9988 SERVICE CHARGE PENALTY $ 5.75 <br /> 3/15/2010 9988 SERVICE CHARGE PENALTY $ 1.15 <br /> 4/15/2010 9988 SERVICE CHARGE PENALTY $ 5.75 <br /> 4/15/2010 9988 SERVICE CHARGE PENALTY $ 1.15 <br /> Total for this Invoice $ 82.80 <br /> PAST DUE <br /> Invoice# IN01 97986--Date of Invoice: 212/2010 I1111111IIIIIIIllVIII(IIIIVIIIIIIIIIIIIIIIIIIIIIIIIIIII11IIIIN11111111IIIIIIIIIII <br /> 2/1/2010 2220 SM HW GEN<5 TONSNR $ 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 /> 6�mw Total for this Invoice $ 788.50 <br /> `i <br /> Payment Due Date 3/412010 <br /> Delinquent charges <br /> will be forwarded to TOTAL DUE this Billing Period $ 961.00 <br /> COL ECT'll0 9S <br /> in 30 days, <br /> 5254.rpt <br />