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OAQUIN COUNTY PUBLIC HEALTH SERVICES l Report 15255 tvVLRONMENTAL HEALTH DIV;1_'7ON S11N./_ment Printed : 02/25/99 304 E WEBER AVENUE - 3RD 00R STOCKTON , CA 95202 Accounting Office : 209 468-3420 I I TO : CHEM-AWAY , INC -- I ATTN : CHEM-AWAY , INC Facility ID 003643 RE : CHEM-AWAY , INC __19t"-s •t OR'RA't -4flct•OW RD - -- _ - - TRACY PLEASE RETURN a COPY of THIS STATEMENT with YOURPAYMENT 'T Service Activity Date Description Hrs Employee Amount 111 - i Invoice # 042041 -- Date of Invoice: 10/17/97 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 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 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 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 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 10/17/97 UST PENALTIES (TANK) $170 . 00 10/17/9.7 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 10/17 /97 UST PENALTIES (TANK ) $170 . 00 10/17/97 UST TANK FEES PAYE + $170 . 00 10/17/97 UST TANK FEES RECEIVED $170 . 00 10/1797 UST PENALTIES (TANK) $170 . 00 , _...._ „ - .ten 4 aA 10%11 97"T15T'1'� PE'�`�TIES (' ANK}'Y'.• ... APR 2 '1W "`$3`70 . 00 . 10/17 /97 UST TANK FEES $170 . 00 11/05/97 PAYMENT ` PIISUCHfi%g'NcAH iANCi�F.eT $-100 . 00 J 03/16/98 PAYMENT ENVJR0W;Vnnoa.»r.ALTH DIVISrcm $-160 . 0 0 I 03/16/96 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 06/19/98 PAYMENT $-20 . 00 07/23/98 PAYMENT $-100 . 00 09/16/98 PAYMENT $-50 . 00 09/16/"98 PA'YM`ENT f _ ,,, _ _ _ .� _-,..- $-150 . 00 10/11 /98 PAYMENT $-20 . 00 10/11 /98 PAYMENT $-80 . 00 11/21/98 PAYMENT $-90 . 00 ` 11/21/98 PAYMENT $-110 . 00 12/24 /98 PAYMENT $-60 . 00 12/24 /98 PAYMENT $-40 . 00 01 /27/99 PAYMENT IDD C O $-100 , 00 ------------ ------------------ Total Cfor s invoice: $3 , 940 . 00 Payment DUE DATE If this INVOICE has been Paid, Please Disregard this Notice Invoice # 044043 -- Date of Invoice: 12/12/97 12/12/97 2380 UST Permit Fee Tank # TA199808 $170 . 00 12/12/97 2380 UST Permit. Fee Tank # TA199807 $170 . 00 12/12/97 2380 UST Permit Fee Tank # TA199806 $170 . 00 12/12/97 2380 UST Permit Fee Tank # TA1998e5 $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 02/15/98 PERMIT FEE PENALTY $170 . 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 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 lei 60 days at the rate of illi of the Base Fee 30 past invoice date and each 31 days days after the due date. thereafter. TOTAL DUE this Billing Period : 56,678.50 • I Please make Checks PAYABLE to : PHS/EHD �I I I