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ENVIRONMENTAHE LTH DEPARTML Page 1 1868 E HAZELTO AV NUE STOCKTON, CA $52 INVOICE �\�� Account ID AR0035516 \ Facility ID FA0019937 Date Printed 6/27/2012 REYNOSO, FRANK RE : IMPERIAL AUTO SPA IMPERIAL AUTO SPA 1211 S TURNPIKE RD 1101 S CENTER ST STOCKTON, CA 95206 STOCKTON, CA 95206-1327 OWNER : REYNOSO, FRANK Date Health Program Description Amount Invoice# IN0222427—Date of Invoice: 12/28/2011 IillllllllllllllllllllIIIIIIIIIIIIIII11111111111111111111111111111IIIAININ Hrs Employee 11/9/2011 2220 306-FOLLOW UP FOR NON-COMPLIANCE 0.50 RIVERA $ 62.50 3/15/2012 9988 SERVICE CHARGE PENALTY $ 6.25 4/15/2012 9988 SERVICE CHARGE PENALTY $ 6.25 5/15/2012 9988 SERVICE CHARGE PENALTY $ 6.25 Total for this Invoice $ 81.25 PAST DUE Invoice# IN0226232--Date of invoice: 1/30/2012 11I11I1111I11111I1111111III11I1111II11111111I11111111111111111IN1111111111111111111 1/27/2012 2220 SM HW GEN<5 TONS/YR $ 213.00 1/27/2012 2244 2012 HAZMAT FEE $ 100.00 1/27/2012 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 1/27/2012 ERSC ELECTRONIC REPORTING STATE SURCHARGE FEE $ 25.00 3/15/2012 9987 Haz Mat Program Penalty Fee 4/15/2012 9994 PERMIT FEE PENALTY PA T DUE $ 10.00 $ 213.00 Delinquent charges Total for this lnvolce $ 585.00 will be forwarded to PAST DUE COLLECTIONS lnvolce# IND228026—Date of lnvolce: 4/27/2012 f, , in 30 days. IIIIIIIIIIIIIIIII IIIIIIIIIIHEIIIII11111111111111111111IIIIIII1111111111111111 Hrs Employee 3/2/2012 2220 306-FOLLOW UP FOR NON-COMPLIANCE 0.20 RIVERA $ 25.00 3/26/2012 2220 306-FOLLOW UP FOR NON-COMPLIANCE 0.20 RIVERA $ 25.00 Total for this Invoice $ 50.00 Payment Due Date 5/3012012 lnvolce# IN0229446--Date of Invoice: 5/24/2012 IIIIIIIillllllllllllllilllllllllllllllllllllllllllllllllllllllllllllllllilllllll _ Hrs Employee 412612012 2220 306-FOLLOW UP FOR NON-COMPLL"CE 0.30 R/NE#tA f tT ytS Totalfor aa!tt.wc� S 37C Payment Due Date 61291202 TOTAL DUE this Billing Period $ 753.75