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y I '- AN JOAQUIN COUNTY PUBLIC PF:-ALTH SERVICES Report t525% ENVIRONMENTAL KiEALTH DMS St,: �J nt PrIntecdr fiYTP3/93 304 E WEBER AVENUE - 3RD F R STOCKTON . CA 95202 Accounting Office : ltdT 4CW-3420 I TO CHEM-AWAY , INC ----- A -A TTN : C1IEM-AWAY , INC y Facility ID 0®3643 PE CHEM- AWAY . INC 8:0 00 S CORRAL KHOLLOW RD TRACY PLEASE RETURN a COPY of THIS STATEMENT with YOUR, PAYMENT �rvIce Activity Date Description Hi Employee Amount Invoice # 042041 -- Date of Invoice : 10/17/97 10/17 /97 UST TANK FEES $170 . 00 10117/97 UST PENALTIES (TANK ) $170. 00 10/17/97 UST TANK FEES $170 . 00 10/17/97 UST PENALTIES (TANK. ) $170 . 00 l 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 3.0/17/97 UST TANK: FEES 1170 - 00 10/17 /97 UST PENALTIES (TANK ) $170 . 00 10/17 /97 UST TANK: FEES $170 . 00 10 /17 /97 UST PENALTIES (TANK ) $1 .70 , 00 j 3.0/17 /97 UST PENALTIES (TANK - $170 . 00 10/17/97 UST TA,NK FEES p�� $a7-Q . 00 7.0/17/97 UST TANK FEES 10/17/97 UST PENALTIES (TANK ) 9109$ $170 . 00 1.0/17/97 UST TANK FEES NpV 1 _$170 . 00 10 /17 /97 UST PENALTIES TANK $1.70 . 00 10/17/97 UST TANK: FEES ( ) sn*r.�°iHs��N:Ssoc+ $170 . 00 10117 197 UST PENALTIES (TAPdKWPVVA $170 . 00 ) 7�e"p wIH�NM 10/17 /97 UST TANK: FEES Hr $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 10/17/97 UST PENALTIES (TANK) $170 . 00 101117/97 UST TANK FEES $170 . 00 i 1.0/17 /97 UST TANK FEES ,170 . 00 10/1.7 /97 UST PENALTIES (TANK ) _ $170 . 00 I 10/17/97 UST PENALTIES (TANK ) 1170 00 ' 10117197} ST TANK FEES 9170 . 00 �C/(/V 03 /16 /98 PAYMENT - 160 . 00 i 03 /16398 PAYMENT $-170 . 00 03/16/98 PAYMENT $ -70 . 00 05/09/98 PAYMENT 05/09/98 PAYMENT $-90 . 00 I 06/19/98 PAYMENT $-80 , 00 00/19r98 PA"MENT $.._20 . 00 07/23/98 PAYMENT $-100 . 00 09/1.6/98 PAYMENT $-50 00 09/16/98 PAYMENT $-150 . 00 10/11 /98 PAYMENT $- 20 , 00 1.0/11 /98 PAYMENT $_.80 , 00 ------------------------------------ - Total for this invoice : $4 ,340 .00 Payment DUE DATE If this INVOICE has been Paid. Please Disregard this Notice i Invoice # 044043 -- Date of Invoice : 12/12/97 12/.12/97 2330 UST Permit Fee Tarok # TA199803 $170 . 00 12/12 /97 2380 UST Permit Fee Tank # TA199807 $170 . 00 j 12/12/97 2380 UST Permit Fee Tank # TA19900C $170 . 00 12/12/97 2380 UST Permit Fee Tank # TA19980S $170 . 00 1.2/12/97 2380 UST Permit Fee Tank. # TA199801 $170 . 00 12/12/97 2'80 UST Permit Fee Tank # TA199803 $170 . 00 12/12/97 2„380 UST Permit Fee Tank # TA199802 170 . 00 12/12/97 2380 U:S:T -Permit *Fee Tank # TA19984I 12/12 /97 2399 UNIFIED PROCRAM FAC STATE SERVICE FEETank 4PP507380 $13 . 50 1 02/15/98 PERMIT FEE PENALTY $170 , 00 02/15/98 PERMIT F C E PENALTY $170 , 00 02/15/98 PERMIT FEE PENALTY $170 , 00 02/15/98 PERMIT FEE PENALTY $1?0 . 00 02/15/98 PERMIT FEE PENALTY c170 . 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 : $2.7,38.50 Payment PAST DUF If this INVOICE has been Paid, Please Disregard this Notice i i for =11 SERVICE rrES penalties will Penalties will be added on all Permits' be added at the rate of let fiO days 1 at the rate of 1t0E of the ease ree 30 past invoice date and each 30 days days after the due date. thereafter. MMNp QQ TOTAL DUE this Billing Period : q $7,078 . 50p Please make Checks PAYABLE to : PHS/EHD ii 1 i