Laserfiche WebLink
SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E . Hazelton Ave. , P.O. Box 2009 <br /> Stockton, CA 95201 <br /> (209) 468 3425 <br /> Jogi Khanna, M.D. , Health Officer <br /> RALPH17 <br /> <br /> <br /> MANTECA, CA 95336 <br /> Billing Statement for 1988 Permit, Underground Tank Facility: <br /> Statement Date: MARCH 1, 1988 <br /> Payment Due Date: March 31, 1988 <br /> PREVIOUS BALANCE : 356.00 <br /> FACILITY FEE: 100.00 <br /> CONTAINER NUMBER: <br /> 0001 50.00 <br /> TOTAL FEES DUE: $506.00 <br /> 13AY&1ENT --------___ <br /> RECEIVEp 506 .00 <br /> remP U(osvtz 30 -00 <br /> I,iyh2 1988 <br /> ysplit Par '-v o <br /> ENVIRONMENTgL HEALTH ' 4 1 rd•0 0 <br /> PERMIT/SERVICES <br /> 35 Ip <br /> $f7 <br /> NOTES: <br /> Notify the San Joaquin Local Health District of any corrections or changes <br /> necessary. Your permit will be mailed upon receipt of payment and approval <br /> of facility. <br /> Return payment along with one copy of this statement to: <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> P.O. BOX 2009 <br /> STOCKTON, CA 95201 <br /> Penalties will be added after due date as shown: 30 days - 100% of Base Fee: <br /> Cov iacf �{ M014I0C4 Fre 17e?aariv"0w't": <br /> A CI! 14IEF -Tim 1NNCS 2o��91 - 8S8- 233 / <br /> RfNS /N6 CtucQ p� Seociwactroc.S e•fc66 <br /> ' Lo be NP 61 ' <br /> S &4A00 431 W • Nei ro R) • ,MoAesro. 2017 52�9GS3, <br />