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 /> .ERCARI7 <br /> .E. R. CARPENTER CO. , INC. <br /> E. R. Carpenter .17100 S.HARLAN RD. <br /> P. 0. BOX 279 .LATHROP, CA 95330 <br /> LATHROP, CA 95330 <br /> Billing- state ment1987 Permi t _ .,..,Unde.rg.mund-,,--Tank--Far-i l i-ty-.-- — <br /> Statement Date: APRIL 1, 1987 <br /> Due: MAY -1,' 1987 <br /> Facility 100 <br /> Container # *Status <br /> 1 A $ 50 <br /> State surcharges @ $56 per tank x _ _ $ <br /> - - - <br /> --Subtotal- of-permit- fees: <br /> Additional Billings or Credits - --�- --r- -. - <br /> TOTAL FEES DUE: $ 150.00 <br /> Penalties will be added Notify the San Joaquin Local Health District <br /> after due date as shown: of any corrections or changes necessary. <br /> Permit will be mailed upon receipt of payment <br /> and approval of facility. <br /> 30 days - 100% of Base Fee 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 />