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PUBLIC HEALTH SERVICES oPa��N <br /> SAN JOAQUIN COUNTY Q z� <br /> JOGI KHANNA M.D.,M.P.H. <br /> Health Officer <br /> Cq C/F O•R aP <br /> P.O. Box 2009 (1601 East Hazelton Avenue) Stockton,CalifPAYMENT <br /> (209) 468-3400 RECEIVED <br /> Waterloo Food & Fuel FEB 2 8 1991 <br /> 3032 E. Waterloo Rd. SAN JOAQUIN COUNTY <br /> Stockton, CA. 95205 PUBLIC HEALTH SERVICES <br /> WATER3 0 ENVIRONMENTAL HEALTH DiVIS!Oh <br /> BILLING STATEMENT <br /> UNDERGROUND FUEL STORAGE TANKS <br /> Facility Location: 3032 E. Waterloo Rd. , Stockton, CA. <br /> Billing for 19$8-1990 fees for permit to operate an Underground <br /> Tank site. <br /> Statement Dat February 7, 1991 <br /> Payment Due Dat . March 7, 1991 <br /> Facility Fees: 19" 1987 1988 1989 1990 <br /> N/A <br /> Container Fees: $ y <br /> Tank 0001 <br /> Tank 0002 <br /> Tank 0003 N/A N/A: N/A 50. 00 50. 00 <br /> Tank 0004 N/A N/A %, 50. 00 50. 00 50. 00 <br /> State Surcharge <br /> Fee: Tank 0001 N/A <br /> Tank 0002 N/A <br /> TOTAL AMOUNT DUE: <br /> $250. 00 <br /> If you have any changes or corrections please <br /> call our office when statement is receive�it, at <br /> (209) 468-3427 . <br /> Penalty' s will be added after 30-days at ��'�� <br /> 100% of base fee. <br /> Please remit along with payment one copy of this`\ <br /> statement to: <br /> PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIV. <br /> P.O.BOX 2009 <br /> STOCKTON, CA. 95201 <br /> ivision of San Joaquin County Health Care Services <br />