Laserfiche WebLink
SAN O � lN LOCAL HEAL- <br /> H DlSTRICTJ � z '16O1 E� HaeItVn AVe , <br /> P.O. Box 2009 <br /> Stockton, CA 9-5201 <br /> (209) 468-3425 <br /> Jog1 Khanna, M &- , Health Ufficer <br /> DUCTU12 <br /> DOCTORS HISP{TAL OF MANTECA <br /> P.� �� BOX 1g� DOCTORS' HOSPITAL OF MANTECA <br /> 1206 E . NURTHMANTECA, CA 95386 MANTECA, <br /> �T <br /> CA 95336 <br /> Bil}ing StatPWent For 1988 Permit, Underground Tank Facility. <br /> Statement Date January 15, 1988 <br /> Payment We Date; February 15' 1988 <br /> Facility rree| 100 00 <br /> Container Number : 000j 50.00 <br /> _________ <br /> T0TAL FEES DUE $150O0 <br /> ^ <br /> - <br /> NOTES: <br /> Notify the SaD JoaguiD Local <br /> Health District of any <br /> or changes <br /> Oe c e5sary. You, Permit will <br /> be mailed UpnD 7eccipi. of <br /> payment and approval of <br /> facility. <br />' Ret-urn Payffrent 6l[mg w:th one <br />� c8py of this statempnt to| <br />� SAN JUAQV1N LOCAL HEALTH UI-,--,'TRTC:T <br />� ENVlR0NME0TAL HEALTH PERMIF/SERUICE3 <br />� P.O. BOX 2009 <br /> STOCK7ON, CA 95201 <br /> Penalties will be added after <br /> due date as shown: <br /> 30 days - J00% of Base Fee <br /> . <br />^ <br /> �� �� <br />