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• • 7Y <br /> PUBLIC HEALTH SERVICES <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH SAIV JOAQUZIECYCLE <br /> 445 N San Joaquin St., P.O. Box 2009 <br /> Stockton, Ca 95201 <br /> (209) 468-3447 JAN BILLING STATEMENT ACCOUNBEE <br /> .DELTA COLLEGE/ACCT PAYABLE SANJO51 <br /> .5151 Pacific SAN JOAQUIN DELTA COLLEGE 'f <br /> .Stockton, Ca 95207 5151 PACIFIC AVE <br /> STOCKTON, CA 95207 <br /> FACILITY LOCATION: 5151 Pacific <br /> In review of our files for your Underground Storage Tanks, we find the following adjustments are <br /> necessary. <br /> 1) a removal fee for tank #9 was paid twice (10/13/88 and 3/15/90). <br /> Credit of -$ 90 <br /> 2) Surcharge for tank #10 was paid twice (10/09189). <br /> Credit of -$ 56 <br /> 3) 1991 one tank fee not paid Debit of +$170 - <br /> 4) 1991 one tank surcharge not paid Debit of + 56 <br /> Balance due of $ 80 <br /> Billing statement for 1992 Permit, Underground Tank Facility <br /> Statement Date: January 10, 1992 <br /> Payment Due Date: February 10, 1992 <br /> Facility Fee 0001 $170 PAYMENT <br /> 0002 170 RECEIVED <br /> 0003 170 <br /> 0006 170 t� MAR 0 2 1992 <br /> 0008 170 SAN JOAQUM C0(iNTY <br /> 0010 170 p. RUC HEHL.TI-I SERVICES <br /> D NMEN1'AL HEAL11i D1V151k 1N <br /> TOTAL FEES DUE ` $1,100 <br /> Please submit the balance due, along with your 1992 fees due. <br /> Notify Public Health Services, San Joaquin <br /> Please remit one copy of this County of any corrections or changes <br /> statement with your payment to: necessary. Your permit will be mailed upon <br /> Public Health Services receipt of payment and approval of facility. <br /> Environmental Health Division. <br /> PO Box 2009 PENALTIES WILL BE ADDED AFTER DUE DATE <br /> Stockton, Ca 95201 AS SHOWN 30-DAYS 100% OF BASE FEE <br /> (J- <br />