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, <br /> ul <br /> PUBLIC HEALTH <br /> SERVICES <br /> SAN JOAQUIN COUNTY °' QRECEIVE <br /> H; :< <br /> JOGI KHANNA M.D.,M.P.H. <br /> Health Officer J <br /> r.O.Dox 2009 • (1601 East Hazelton Avenue) • Stockton,California 5201 ')910 c°c'iIi6 <br /> (209) 468-3400At NEALTv <br /> V <br /> Robert H. Lee & Assoc. "7 <br /> 1337 Howe Ave Suite 211 <br /> Sacramento, CA 95825 <br /> TRACY37 <br /> BILLING STATEMENT <br /> UNDERGROUND STORAGE TANKS <br /> FACILITY LOCATION: 3725 Tracy Blvd, Tracy, CA <br /> Billing for 1990 fees for permit to operate an Underground Tank <br /> Facility. <br /> Statement Date: May 30, 1990 <br /> Payment Due Date: June 30, 1990 <br /> Facility Fees: $N/A <br /> Container Fees: <br /> Tank 0011 $50.00 <br /> Tank n/a <br /> Tank n/a <br /> State Surcharge <br /> Fee: <br /> Tank 0011 56.00 <br /> Tank n/a <br /> Tank n/a <br /> TOTAL AMOUNT OF FEES DUE: <br /> $106.00 <br /> If you have any changes or <br /> correctionsplease call our <br /> office when statement is <br /> received at (209) 468 3420. <br /> Penalty's will be added after <br /> the due date shown. <br /> 30 - days at 100% of base fee. <br /> Please remit with payment one copy of this <br /> statement to : <br /> PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISION <br /> 1601 E. HAZELTON AVE <br /> STOCKTON. CA 95205 <br /> Division of San Joaquin County Health Care Services <br />