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PUBLIC HEALTH SERVICES <br /> SAN JOAQUIN COUNTY <br /> q. < <br /> JOGI KHANNA M.D.,M.P.H. <br /> Health Officer <br /> P.O. Box 2009 • (1601 East Hazelton Avenue) •Stockton,California 95201 �t.ikd,A� <br /> (209) 466-3400 <br /> Lewis & Mary Stallworth <br /> 1107 S. Burkett <br /> Stockton, CA. 95205 <br /> MOBIL60 <br /> BILLING STATEMENT <br /> FOR <br /> UNDERGROUND STORAGE TANKS <br /> RE: 602 N. California, Stockton. <br /> BILLING FOR 1990 and 1991 PERMIT TO OWN AND OPERATE AN UNDERGROUND <br /> TANK SITE: <br /> STATEMENT DATE: APRIL 17 , 1991 <br /> DUE DATE: MAY 17, 1991 <br /> 1990 1991 <br /> FACILITY FEE: $100. 00 $ N/A <br /> CONTAINER FEES <br /> TANK # 0001 $ 50. 00 <br /> 0002 50. 00 <br /> 0003 50. 00 <br /> 0004 50. 00 170. 00 <br /> STATE SURCHARGE <br /> FEE: 0001 $ N/A 56 . 00 <br /> 0002 56. 00 <br /> 0003 56 . 00 <br /> 56. 00 <br /> AMOUNT DUE: $ 694 . 6(5-- <br /> Penalties will be added after <br /> due date as shown: <br /> 30 days - 100% of Base Fee: <br /> NOTES: PAYMENT <br /> Notify Public Health services, RECEIVED <br /> San Joaquin County of any 4 <br /> corrections or changes. Your .. '� 2, <br /> permit will be mailed upon <br /> receipt of payment and SAN <br /> approval approval of facility. PUBLIC HEALYH . : <br /> ENVIRONMENTAL NEALT'�p <br /> Return payment along with one <br /> copy of this statement tot <br /> Public Health services - <br /> Environmental Health Division <br /> P.O. Sox 2009 <br /> Stockton, CA. 95201 ugst.fil <br /> (209) 468-3427 <br /> non of sen Joaquin Cowry Health Cut S.Mces 10 <br />