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JMIY JV/"IV VIIY VVVIVI I ENVIRONMENTAL HEALTH DEPARTMW Page 1 $00 E MAIN STREET STOCKTON, CA 95202 Phone: (209)468-3420 INVOICE U Account ID ARoo,szo7 Facility 10 F FA0009207 Date Printed 4/28/2010 IMEMMMENIMMUMMAUA ALEX & ERNESTO GONZALEZ RE : ARTISTIC ORNAMENTAL IRON WORKS ARTISTIC ORNAMENTAL IRON WORKS 2228 N WILSON WAY 2228 N WILSON WAY STOCKTON, CA 95205 STOCKTON, CA 95205 OWNER : GONZALEZ, ALEX& ERNESTO P Date Health Program Description Amount Invoice# IN0196859---Date of Invoice: 12/23/2009 I(IIIIII(IIIIIIII IIIII IIIII VIII IIIII IIIII IIIII IIIII IIIII IIII IIIIII IIIII IIIIIIII Hrs Employee 11/6/2009 2220 306-FOLLOW UP FOR NON-COMPLIANCE 0.50 CACAPIT $ 57.50 3/15/2010 9988 SERVICE CHARGE PENALTY $ 5.75 4/15/2010 9988 SERVICE CHARGE PENALTY $ 5.75 Total for this Invoice $ 69.00 PAST DUE Invoice# IN0198585_Date of Invoice: 2/2/2010 11111111 IIIIII III VIII VIII IIIII IIIII VIII(IIII VIII IIIII IIIII IIII IIIIII 1111111111111 2/1/2010 2220 SM HW GEN<5 TONS/YR $ 213.00 2/1/2010 2244 2010 HAZMAT FEE $ 285.00 2/1/2010 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 2/1/2010 ERSC ELECTRONIC REPORTING SURCHARGE $ 25.00 3/20/2010 9987 Haz Mat Program Penalty Fee $ 28.50 4/15/2010 9994 PERMIT FEE PENALTY S 213.00 Total for this Invoice $ 788.50 Payment Due Date 3/412010 FRMS p LA TOTAL DUE this Billing Period $ 857.50 Delinquent charges Will be iarWarde., to COLLECT, OOa in 30 days. Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT Penalties will be added to all Permit Fees For DES I HMMP Fees For all SERVICE FEES at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% Penalties will.be added at the Rate of 10% 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter 5254.rpt