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PUBLIC HEALTH SERVICES <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH <br /> 445 N San Joaquin St., P.O. Box 2009 <br /> Stockton, Ca 95201 <br /> (209) 468-3447 <br /> August 5, 1992 <br /> BILLING STATEMENT <br /> SITE INFORMATION: <br /> .GEORGE SCHULER GEOFS17 <br /> . <br /> STOCKTON, CA <br /> Billing for Back fees for Permit to own and/or operate an Underground Storage Tank Facility. <br /> Statement Date: August 5, 1992 <br /> Payment Due Date: UPON RECEIPT <br /> TOTAL FEES DUE $3,184 <br /> 1986 1987 1988 1989 1990 1991 1992 <br /> Facility Fee 100 100 100 100 100 NA NA <br /> Container Fees <br /> Tank #1 50 50 50 50 50 170 170 <br /> Tank #2 50 50 50 50 50 170 170 <br /> PENALTY NA NA 200 200 200 340 340 <br /> State Surcharge 112 112 <br /> SUB TOTAL DUE: 312 200 400 400 400 792 680 <br /> Please remit one copy of this If you have any questions <br /> statement with your payment to: regarding this statement, <br /> Public Health Services you can contact the <br /> Environmental Health Division accounting office at <br /> PO Box 2009 (209)468-3447 <br /> Stockton, Ca 95201 <br /> PENALTIES WILL BE ADDED AFTER DUE DATE AS SHOWN: <br /> 30 DAYS - 100% OF BASE FEE <br />