Laserfiche WebLink
PUBLT HEALTH SERVICES ,0.4U%Ni COG <br /> SAN JOAQUIN COUNTY = i <br /> JOG[KHANNA M.D.,M.P.H. <br /> Health Officer P <br /> P.O. Box 2009 0 (1601 East Hazelton Avenue) 0 Stockton,California 95201 <br /> c'0 tic dit <br /> (209)468-3400 <br /> June & Kaz Higashi <br /> <br /> <br /> <br /> BILLING STATEMENT <br /> UNDERGROUND STORAGE TANKS <br /> FACILITY LOCATION: 10306 S. JANET RD. , FRENCH CAMP. <br /> Billing for 1986-1989 fees for permit to own and operate an <br /> Underground Tank site. /, i991 <br /> Statement Date: Apri1991 <br /> Payment Due Date: May <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 N/A <br /> Tank 0003 N/A <br /> State Surcharge <br /> Fee: <br /> Tank 0001 PAID <br /> Tank 0002 N/A <br /> Tank 0003 N/A <br /> TOTAL AMOUNT OF FEES DUE: $600. 00 <br /> If you have any changes or <br /> corrections please call our <br /> office when statement is <br /> received at (209) 468 3427 . <br /> Penalty' s will be added after <br /> the due date shown. <br /> 30 - days at 100% of base fee. <br /> Please remit with payment one copy of this <br /> statement to : <br /> PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISION <br /> 1601 E. HAZELTON AVE <br /> STOCKTON, CA 95205 <br /> A Division of San Joaquin County Health Care Services �, <br />