Laserfiche WebLink
PUBLIC HEALTH SERVICES <br /> SAN JOAQUIN COUNTY <br /> JOGI KHANNA M.D.,M.P.H. <br /> Health Officer ., c <br /> P.O.Box 2009• (1601 East HazettonAvenue) • Stockton,California 95201 4tJFOR.+ <br /> (209)468-3400 4� 91— <br /> 1107 <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 St. , Stockton, CA. <br /> BILLING FOR 1991 PERMIT TO OPERATE AN UNDERGROUND TANK FACILITY: <br /> FOR PERIOD BEGINNING JANUARY 1, 1991 AND ENDING DECEMBER 31, 1991. <br /> STATEMENT DATE: March 1, 1991 <br /> DUE DATE: April 1, 1991 <br /> CONTAINER FEES: 0001. $170. 00 <br /> 0002 170. 00 <br /> 0003 170. 00 <br /> STATE SURCHARGE <br /> FEE: 0001 $ <br /> AMOUNT DUE: $510. 00 <br /> Penalties will be added after <br /> due date as shown: <br /> 30 days - 100% of Base Fee: <br /> NOTES: <br /> Notify Public Health Services, <br /> San Joaquin County of any PAYMENT <br /> corrections or changes. Your <br /> permit will be mailed upon RECEIVED <br /> reczi.pt of payment and f <br /> approval of facility. A'-1? 0 9 1991 <br /> SAN JOAQUIN CC',!vTY <br /> Return payment along with one PUBLIC HEALTH StP;,ICES <br /> copy of this statement to: ENVIRONMENTALHEAL f-H DIVISION <br /> Public Health services - <br /> Environmental Health Division <br /> P.O. Box 2009 <br /> Stockton, CA. 95201 ugst.fil <br /> (209) 466-3427 <br /> Division of San Joaquin County Health fare Services <br />