Laserfiche WebLink
• • <br /> 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 /> LOUIS MOLIN P4OLIN43 <br /> P. 0. BOX 7433 LOUIS MOLIN <br /> STOCKTON, CA 95207 435 S. WILSON WAY <br /> STOCKTON, CA 95205 <br /> Billing statement for 1986 & 1987 Permit Underground Tank Facility . <br /> Statement Date: AUGUST 10, 1987 Date Due SEPTEMBER 10, 1987 <br /> 1986 1987 <br /> Facility 100.00 Facility <br /> Tank # *Status Tank # *Status <br /> 1 A g 50 1 PC $ 90 <br /> State surcharges @ $56 per tank x 1 = $ 56.00 <br /> Subtotal of permit fees 1986 $ i5o-o(1_ <br /> Subtotal of permit fees 1987 $ 90.00 <br /> TOTAL FEES DUE: $ 296.00 <br /> *A - Active <br /> TC - 'Temporary Closure <br /> PC - Permanent Closure <br /> Notify the San Joaquin Local Health District of any corrections or changes <br /> necessary . <br /> Return payment along with one copy of this statement to : <br /> San Joaquin Local Health District <br /> Environemntal Health Permit/Services <br /> P O Box 2009 , Stockton , CA 95201 <br /> pAYM VED <br /> RECE <br /> G 2 01987 <br /> t V1 pEERMITISERVICESLTH <br />