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PUBLIC HEALTH SErVICES pq UIN <br /> SAN JOAQUIN COUNTY 2' <br /> JOGI KHANNA M.D.,M.P.H. <br /> Health Officer y <br /> b . p <br /> P.O. Box 2009 • (1601 East Hazelton Avenue) • Stockton, California 95201 9��Fo04 <br /> (209) 468-3400 <br /> Mohr - Fry Ranches <br /> 12609 N. West Lane <br /> Lodi, CA. 95240 <br /> BILLING STATEMENT <br /> UNDERGROUND FUEL STORAGE TANKS <br /> Facility Location: 950 Industrial Drive. , Stockton. <br /> Billing for 1986-1990 fees for permit to operate an Underground <br /> Tank site. <br /> Statement Date: December 26, 1990 <br /> Payment Due Date: January 26, 1990 <br /> Facility Fees: 1986 1987 1988 1989 9 <br /> Container Fees: <br /> Tank 0003 50. 00 50. 00 50. 00 50. 00 50. 00 <br /> Tank 0004 50. 00 50. 00 50. 00 50. 00 50. 00 f 000 <br /> Tank 0005 50. 00 50 . 00 50 . 00 50. 00 50 . 00 2 2 y <br /> Tank 0006 50. 00 50. 00 50. 00 50. 00 50. 00 <br /> State Surcharge <br /> Fee: Tank 0003 56. 00 <br /> Tank 0004 56. 00 <br /> Tank 0005 56. 00 <br /> Tank 0006 56. 00 / 22y ob <br /> TOTAL AMOUNT DUE: / c/ <br /> If you have any changes or corrections please <br /> call our office when statement is received, at <br /> (209) 468-3427 . b <br /> Penalty's will be added after 30-days at <br /> 100% of base fee. b / <br /> Please remit along with payment one copy of this <br /> statement to: <br /> PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIV. <br /> P.O.BOX 2009 <br /> STOCKTON, CA. 95201 <br /> )iv ision of San Joaquin Counry HeaI[h Care Services <br /> �• r <br />