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American Community Development dba: <br />Afforda-Test pays the State sales taxon parts. City or District taxes or permits are site's responsibility <br />Af f orda-Test <br />CSLB #341375 <br />INVOICE <br />NUMBER <br />416 2nd Street Galt, Ca. 95632 <br />6/19/2017 <br />XI <br />28269 <br />800 524-9087 FAX 209 74401 <br />BILL TOSITE <br />Los Gatos 76 Los Gatos 76 <br />Sam 666 N. Santa Cruz <br />Avenue <br />666 N. Santa Cruz Avenue Los Gatos, CA 95030 <br />Los Gatos, CA 95030 <br />P.O. No. Site ID # <br />1653-1 <br />ITEM CODE <br />QTY <br />DESCRIPTION <br />EACH <br />AMOUNT <br />ATG <br />Annual Monitor Certification - 6 UDC or Less <br />299.00 <br />299.00 <br />Lk Det <br />3 <br />Leak Detector Test <br />60.00 <br />180.00 <br />Spill Buckets w/T <br />3 <br />Spill Bucket Testing with other Testing *Waste Oil bucket <br />50.00 <br />150.00 <br />failed Needs Repair & Retest.* <br />Annual AQ ISD ... <br />Annual ISD Healy, Incon, Hirt or VST Testing when done <br />749.00 <br />749.00 <br />@ same time as Annual Enviromnental Health Tests <br />Mileage <br />110 <br />Fuel Surcharge Per Mile One Way <br />1.00 <br />110.00 <br />7/13/17 <br />Spill Buckets w/... <br />Re -test Waste Oil Spill Bucket - Techs did not remove water <br />0.00 <br />from spill upon leaving - Site had to do it. <br />0.00 <br />0.00 <br />*Postmark by 8/1/17 and pay discounted rate of $1450. <br />E <br />I� <br />I�"CPM <br />I <br />�. <br />SEP <br />24 2018 <br />ENVIR <br />NMENTAL <br />HEALTH ijFPARTMENT <br />MANY AGENCIES ARE NOW VIOLATING SITES THAT DO NOT HAVE RESULTS TO THEIR OFFICE WITHIN 30 <br />DAYS OF TESTING. <br />WE DO NOT SEND RESULTS UNTIL PAYMENT HAS BEEN MADE. PLEASE ARRANGE YOUR PAYMENT ACCORDINGLY <br />Credit cards are not accepted on discounted rates. <br />Total <br />$15488.00 <br />ALL ADDITIONAL COPIES OR FAXES OF RESULTS ARE CHARGED $10. PLEASE CALL WITH CREDIT CARD. <br />