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:Ah JOAQUIN COUNTY PUBLIC HEALTH SERVICES P,eport 15:55 Ehd; REl47MENTAL HEALTH DIV I` S* nt Printed : 11 /19/98 004\\ E WCSER AVENUE - 3RD Fw'xn � i STOCKT-ON , CA 95:02 Accounting Office : 209 459-3420 IIE P, , . KD { .. C:. 1 l 1 T0 : CHEM-AWAY , INC _ qI ATTN : CHEM AWAY , INC Facility I0 003543 � tl I RE : CHEM AWAY , INC ._._w, .i9aa'i�ma.c. nnnn. +]„i Ya•..F _"" ad FFD - 7PAC PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT Service Activity Date Description Hrs Employee Amount I Invoice t 042041 Date of Invoice : 10/17/97 10/17/97 U..^.T TANK: FEES Ioa '6� 1170 . 00 ' 10/17 /97 UST PENALTIES (TANK ) $1A . 00 10/17 /97 UST TANK: FEES (�, - ,�(lJ-✓�� $.17b . 00 10/17 /97 UST PENALTIES (TANK ) Cl $170` 00 . 00� 10/17/97 UST TANK FEES $170 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 I 10/17/97 UST TANK; FEES $170 . 00 ! 10/17/97 UST PENALTIES (TANK ) $170 . 00 10/17197 UST PENALTIES (TANK: ) $170 . 00 10/17/97 UST TANK FEES $170 . 00 10/17 /97 UST TANK FEES / $170 . 00 I c.'E 1,4,` ,, ' s'IWwor'�N-nw'b+a+rY . 10/17/97 UST TANK FEES 10117 /97 UST PENALTIES (TANK ) $170 . 00 I 10/17/97 UST TANK: FEES 1170 . 00 10/17/97 UST PENALTIES (TANK) $170 . 00 J10/17/97 UST TANK: FEES ,170 . 00 10117 /97 UST PENALTIES (TANK) $170 . 00 j10/17/97 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 1.0/17/97 UST TANK FEES $170 . 00 10/17 /97 UST TANK FEES $170 . 00 10/17 /97 UST PENALTIES (TANK ) $170 . 00 i 10/17/97 UST PENALTIES (TANK) $170 . 00 10/17/97 UST TANK FEES $170 . 00 ' 11/05/97 PAYMENT $-100 . 00 j 03/16 /98 PAYMENT $-160 . 00 ) I 0 !15 /'1'3 PAYMENT 1-170 . 00 03/10/98 PAYMENT $-70 . 00 05/09/98 PAYMENT �"' $-10 . 00 i 05/09/98 PAYMENT $-90 , 00 06/19/98 PAYMENT $-80 . 00 I 0£/19/98 PAYMENT $-20 . 00 07/23/98 PAYMENT $-100 . 00 09/16/98 PAYMENT $..50 , 00 09/16/98 PAYMENT 1 -150 . 00 10 /11/98 PAYMENT $-20 . 00 10/11/98 PAYMENT $-80 . 00 _ Total for this invoice : $4 ,340 .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 2.380 UST Permit Fee Tank I TA199800 $170 . 00 I 7.2/12 /97 2380 UST Permit Fee Tank if TA199807 $170 . 00 ! 12/12/97 2380 UST Permit Fee Tank i TA199806 $170 . 00 � 12/12/97 2380 UST Permit Fee Tank t TA199805 ;170 . 00 I, 12/12/97 2380 UST Permit Fee Tank Ad TA$ 9>98p 12 /12 /97 23SO UST Permit Fee Tank .4 TA199802 $170 . 00 12/12/97 2380 UST Permit Fee Tank .t TA199801 1170 . 00 I 12/12/97 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $18 . 50 02/15/95 PERMIT FEE PENALTY $170 . 00 02/15/98 PERMIT FEE PENALTY $170 . 00 i 02/15/98 PERMIT FEE PENALTY $170 . 00 02115/98 PERMIT FEE PENALTY $170 . 00 I 02/15/98 PERMIT FEE PENALTY 1170 . 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 , 738.59 Payment PAST DUF If this INVOICE has been Paid, Please Disregard this Notice MOMENT DEC 2 3 1998 SAN JOArU!N Pusuc HF_ALTF?SERVIC;U, NVIRONMFNTAL HE&TI,r6 ,MPh RVICE FEES penalties will =?res9k�sx�a4-11aaded 4A-4.11 Permits Be;adAw# a€t#e .ats ai1�« 6G ys w- ,.•r at the rate of IDA! of the Base Fee 9 past invoice date and each 31 days days after the doe date. thereafter. TOTAL DUE this Billing Period: P $7.07d 50p I I Please make Checks PAYABLE to : PNS/EMD 1 I I I 1 i I I l i�