Laserfiche WebLink
• P <br /> SAN <br /> 16011 1%. Vaze <br /> elton Avenue , <br /> 1) DISTl2'. 2()Ug RecF Vet) <br /> Stockton , CA 95201 ✓UN 2 <br /> (209)466-6781 FNVi 27987 <br /> Jogi Khanna, M.D. , Health Officer fR,y lee vv fAL?y <br /> • RIPON CONSOLIDATED FIRE DEPT. RIPONI7 <br /> • 142 S. STOCKTON RIPON CONSOLIDATED FIRE DIST. <br /> • RIPON, CA 95366 17434 E. HIGHWAY 120 <br /> RIPON, CA 95366 <br /> Billing statement for _ 1gR6 R 1gR7 pFRMTT Underground Tank Facility . <br /> Statement Date: MAY 1g 127 Date Due MAY 30. 1987 <br /> 1986 1987 <br /> Facility 9100 Facility <br /> Tank # *Status 'Tank # *Status <br /> 1 A <br /> S-5-0- 1_ PC g -go— <br /> State <br /> 0State Surcharges $56 per tank x 1 = $ 56.00 <br /> Subtotal of permit fogs 1986 $ I6Q 9D__ <br /> Subtotal of permit fees 1987 $--. 90.00 <br /> TOTAI, FEES DUI?: $ 296.00 1 to-4s1 <br /> *A - Active — -- <br /> TC - Tomporary Closure <br /> I,(' - Pornuutent. Clo:;uro <br /> Notify the San .lo:ulu : n I.ucal Health Di :. trI , of any corrections or chane:; <br /> nt1t�rr <br /> :;:;;ty . � <br /> HetUrn paymont along wi 1.11 on.• copy of hi :; r,t a1.011Wnl t. . ; <br /> San .1oaquin fugal Ilcalth I)i:;trict <br /> P:nvironemntal Health hermit/Services <br /> Y 0 Box 2009 , Stockton , CA 95201 <br />