Laserfiche WebLink
SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P. 0. Box 2009 <br /> Stockton, CA 95201 <br /> (209) 466-6781 <br /> Jogi Khanna, M.D. , Health Officer <br /> -STOCKTON GOLF & COUNTRY CLUB - STOCKSTOCKTON GOLF & COUNTRY CLUB <br /> P. 0. BOX 336 <br /> STOCKTON, CA 95201 SW. COUNTRY CLUB <br /> • STOCKTON, CA 95024 <br /> Billing statement for 1987 Permit Underground Tank Facility. <br /> Statement Date: APRIL 1, 1987 <br /> Due: MAY 1, 1987 <br /> Facility $ 100.00 <br /> Container N Status <br /> 1 -A- <br /> 2 -A $ so- o <br /> 3 —� <br /> go-no <br /> State <br /> i <br /> State surcharges @' $56 per tank x <br /> Subtotal of permit fees: $ 250.00 <br /> Additional Billings or Credits <br /> $ <br /> TOTAL FEES DUE: $ 250.00 <br /> Penalties will be added Notify the San Joaquin Local Health District <br /> Past due date as shown: of any corrections or changes necessary. <br /> Permit will be mailed upon receipt of payment <br /> 30 days - 100% of Base Fee and approval of facility. <br /> Return payment along with one copy of this <br /> statement to: <br /> San Joaquin Local Health District <br /> " Environmental Health Permit/Services <br /> A - Active P. 0. Box 2009, Stockton, CA 95201 <br /> TC - Temporary Closure <br /> PC - Permanent Closure <br />