Laserfiche WebLink
SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Avenue , P 0 Box 2009 <br /> Stockton , CA 95201 <br /> (209)466-6781 <br /> Jogi Khanna, M.D. , Health Officer <br /> • TRACY RURAL FIRE DISTRICT TRACY22 <br /> • P. 0. BOX 117 TRACY RURAL FIRE DISTRICT <br /> • BANTA, CA 95304 22284 SEVENTH ST. <br /> BANTA, CA 95304 <br /> Billing statement for 1986 & 1987 PERMIT Underground Tank Facility . <br /> Statement Date: MAY 19, 1987 Date Due MAY 30 1987 <br /> 1986 1987 <br /> Facility $100 Facility $100 <br /> Tank # *Status Tank # *Status <br /> 1 A $ 50.00 1 A $ 50 <br /> State surcharges @ $56 per tank xl - $ 56.00 <br /> Subtotal of permit fees 1986 $ 150 nn <br /> Subtotal of permit fees 1987 $ 150.00 <br /> 'roTAL FEEN DUE: $ 356.00 <br /> •A - Active <br /> TC - Tomporary Closure <br /> PU - Permanent Closure <br /> Notify the San .Joaquin Local Health District of an}• corrections or changes <br /> tt�•r :;:ul r V . <br /> Return payment along with one copy of thin; statcnurut to: <br /> San .Joaquin Local Ilealth Ui :;trict <br /> Environemntal Health Permit/Services <br /> P 0 Box 2009 , Stockton , CA 95201 <br /> 0 0 <br />