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SAN JOAQUIN COUNTY PUBLIC HEALTH;r,6ER4&ICES Report ENVIRONMENTAL HEALTH DIV CON Sl�fement Printed : 041 � I 304 E WEBER AVENUE - 3RD -rLOOR .►`,,�. STOCKT Accountingt N . Coffice :0 209 468-3420 �II 1 TO : CHEM-AWAY , INC II ATTN : CHEM-AWAY , INC facility ID 003643 RE : CHEM-AWAY , INC - -� 30600 S CORRAL, HOL.LOW..R.O:... :.- - i TRACY PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT- aService Activity Description Hrs Employee Amount. � Invoice # 042041 -- Oats of Invoice: 10/17/97 10/17/97 UST TANK FEES $170 . 00 10/17 /97 UST PENALTIES (TANK) $170 . 00 10/17/97 UST TANK FEES $170 . 00 10/17/97 UST PENALTIES (TANK ) ->-- -�, $170 . 00 10/17 /97 UST TANK FEES $170 . 00 I 10/17/97 UST PENALTIES (TANK ) ��, - $170 . 00 10/17/97 UST TANK FEES $170 . 00 10/17/97 UST PENALTIES (TANK) PA $170 . 00 10/17 /97 UST TANK FEES '...,.. . $170 . 00 10/17/97 UST PENALTIES (TANK) ....nn�/ $170 . 00 10/17/97 UST TANK FEES �R1'�11 2 4JQQQQQQ 13W $170 . 00 10/17/97 UST PENALTIES (TANK) $170 . 00 10/17 /97 UST "TANK FEES S"JCAQU1N Qv PUaUCHENTNSAix $170 . 00 10117/97 UST PENALTIES (TANK ) EIJVIA(NMFNTAL•ISAJTr , ,,a.s 1 $170 . 00 10/17 /97 UST PENALTIES (TANK ) $170 . 00 10/17/97 UST TANK FEES $170 . 00 10/17 /97 UST TANK FEES $170 . 00 10/17/97 UST PENALTIES (TANK) $170 . 00 j 10/17/97 UST TANK FEES $170 . 00 10/17/97 UST PENALTIES (TANK) $170 . 00 10/17/97 UST PENALTIES (TANK) $170 . 00 10/17 /97 UST TANK FEES $170 . 00 10/17 /97 UST TANK FEES $170 . 00 10/17/97 UST PENALTIES (TANK) $170 . 00 10/17/97 UST PENALTIES (TANK) $170 . 00 10/17/97 UST TANK FEES $170 . 00 10/17/97 UST PENALTIES (TANK ) $170 . 00 10/17/97 UST TANK FEES $170 . 00 i 10/17/97 UST TANK FEES $170 . 00 10/17/97 UST PENALTIES (TANK ) $170 . 00 J 10/17/97 UST PENALTIES (TANK ) $170 . 00 10 fl7.-97: U-ST : 9kIG'-"1F05-f s $170 . 00 I 11 /05/97 PAYMENT $-100 . 00 03/16/98 PAYMENT $-160 . 00 j I I 03/16/98 PAYMENT $-170 . 00 03/16/98 PAYMENT $-70 . 00 05/09/98 PAYMENT `� $-10 . 00 05/09/98 PAYMENT $-90 . 00 06/19/98 PAYMENT $-80 . 00 06 /19/98 PAYMENT $-20 . 00 07/23/96 -PAY*ENT r-,t. $-109,. 00 09/16/98 PAYMENT $-50 . 00 09/16/98 PAYMENT $-150 . 00 10/11 /98 PAYMENT $-80 , 00 10/11 /98 PAYMENT $-20 , 00 11 /21 /98 PAYMENT $-90 . 00 I 11 /21 /98 PAYMENT $-110 . 00 12/24 /98 PAYMENT $-60 . 00 12/24 /98 PAYMENT 01/27/99 PAYMENT $-100 . 00 03/12/99 PAYMENT $-30 . 00 03/12/99 PAYMENT $--70 . 00 04/07/99 PAYMENT $-100 . 00 I ------------------------------------- Total -----------------------------------Total for this invoice: $3, 740. 00 i Payment DUE DATE 11/21/97 If this INVOICE has been Paid, Please Disregard this Notice I Invoice # 044043 -- Date of Invoice : 12/12/97 i 12 /12/97 2380 UST Permit- Fee Tank # TA199906 $170 . 00 12 /12 /97 2380 UST Permit Fee Tank # TA199807 $170 . 00 12/12/97 2300 UST Permit Fee Tank # TA199806 $170 . 00 12/12/97 2380 UST Permit Fee Tank # TA199805 $170 . 00 12/12/97 2380 UST Permit Fee Tank # TA199804 $170 . 00 12/12/97 2380 UST Permit Fee Tank # TA199803 $170 . 00 12/12/97 2380 UST Permit Fee Tank # TA199802 $170 . 00 12/12/97 2380 UST Permit Fee Tank # TA199801 $170 . 00 12/12/97 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $18 . 50 02/15/98 PERMIT FEE PENALTY $170 . 00 02/15/98 PERMIT FEE PENALTY $170 . 00 02/15/98 PERMIT FEE PENALTY $170 . 00 j 02/15/96 PERMIT FEE PENALTY $170 . 00 02/15/98 PERMIT FEE PENALTY $1,70 , 00 02/15/98 PERMIT FEE PENALTY $170 . 00 02/15/98 PERMIT FEE PENALTY $170 . 00 02/15/98 PERMIT FEE PENALTY $170 . 00 ------------------------ Total for this invoice: $2.738 .50 Payment PAST DUE If this INVOICE has been Paid, Please Disregard this Notice For all SERVICE FEES penalties will Penalties will be added on all Permits be added at the rate of 11% 61 days at the rate of 1818 of the Base Fee 31 past invoice date and each 31 days days after the due date. thereafter. TOTAL DUE this Billing Period : $6, 478 .50 j Please make Checks PAYABLE to: PHS/EHO { I 11