Laserfiche WebLink
PUBLIC HEALTH SERVICES <br /> OP�.!f.!N .0 <br /> ). <br /> SAN] ) j i )CNTY r i <br /> JOG[KHANNA M.D.MT ii <br /> Hea h Officer <br /> P.O. Box 2009 • (1601 East Hazelton Avenue) • Stockton, California 95201 <br /> (209) 468-3400 <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 445 N. SAN JOAQUIN (P.O. BOB 2009) <br /> STOCKTON, CA. 95201 <br /> (209) 468-3427 s per✓ <br /> June <br /> aigashi FN�A�e<%U Q 0'q <br /> <br /> <br /> t"4 <br /> FACILITY <br /> FACILITY LOCATION: 10306 S. JANET RD. , FRENCH CAMP. <br /> Billing for 1986 thru 1990 fees for permit to Operate an <br /> Underground Storage Tank Facility. <br /> Statement Date: AUGUST 28, 1991 <br /> Payment Due Date: UPON RECEIPT <br /> 1986 1987 1988 1989 1990 <br /> Facility Fees:$ 100. 00 100.00 100. 00 100. 00 N/A <br /> Container Fees: <br /> Tank 0001 $ 50.00 50.00 50. 00 50. 00 N/A <br /> Tank 0002 <br /> Tank 0003 <br /> State Surcharge <br /> Fee: Tank 0001 PAID <br /> Tank 0002 <br /> Tank 0003 <br /> TOTAL AMOUNT O FEES DUE:$ 600. 00 <br /> If you have any changes <br /> or corrections please <br /> call our office when <br /> statement is received <br /> at (209) 468-3427. <br /> Please remit one copy Of <br /> this statement with <br /> your payment to: <br /> Public Health Services <br /> Environmental Health Division <br /> P.O. Box 2009 <br /> Stockton, CA. 95205. <br /> A Divitiion of tian Joaquin Gmnry Health(:are:enices q0 <br /> \i 9/ <br />