Laserfiche WebLink
SAN 30AQUIN LOCAL HEALTH DISTRICT <br /> 1501 E. Hazelton Ave'., P.O. Box 2009 <br /> Stockton, CA 95201 <br /> (209) 468-3425 <br /> jo9i Khanna, M.D. , Health Officer <br /> ELL I S82 <br /> <br /> <br /> LLD CHEROKEE LANE <br /> U)uI, , CA 95240 <br /> Billing Statement For 19::2 Permit., Underground Tank: Facility. <br /> Statement Date January 15, <br /> Payment Due Date: February 15, i9 ; ; <br /> Facility Fee; 100.00 <br /> Container Number: 0001 .50.00 <br /> 0002 50.00 <br /> 0003 .50.00 <br /> 0004 50.00 <br /> TOTAL FEE=; DUE - $300.00 <br /> NOTES; <br /> Notify the San .oaquin Local <br /> Health District of any <br /> corrections or changes <br /> necessary . Your permit will <br /> be mailed upon receipt of <br /> Payment and approval of <br /> facility . <br /> Return payment along with one <br /> copy of this statement to; <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT PAYMENT <br /> RECEIVED <br /> ENVIRONMENTAL HEALTH PERMIT/SERJIC:E:s <br /> P.O. BLit 2009 FCB <br /> STOCKTON, CA 95201 5 1988 <br /> Penaltieswill be added after kNVRONMENTAL HEALTH <br /> due date as shown; W111T�SERVICES <br /> 30 days - 100% of Base Fee <br />