Laserfiche WebLink
PUBLIC HEALTH SERVICES <br /> sAN;oAI�(;IN C01 Nry <br /> JOGI KHANN,1 \LD. ,�I_P 1i <br /> Health Officer <br /> P.O. Box 2009 • (1601 East Hazelton Avenue) • Stockton, California 95201 cggkb p`' P <br /> (209) 468-3400 <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 445 N. SAN JOAQUIN (P.O. BOX 2009) <br /> STOCKTON, CA. 95201 <br /> (209) 468-3427 <br /> June & Kaz Higashi <br /> <br /> <br /> <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 DQE:$ 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 Dnision of tiara Joaquin County'H,arh(arc Services <br />