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Eilling Statement <br /> Cl) FIUI-,I..fC HEALTH SERVICES <br /> DIVISION OF ENV IRONhENTAL HEALYH <br /> PERMIT SERVICES <br /> 16ul E HAZELTON AVLNUC SIOLIlON, CA . 9S20E, <br /> (205) 463 3428 <br /> CAMS'S HEAriNG & <br /> 907 8 WILSON WOY <br /> STOCKTON, CA 9S20S <br /> 3ENRY BRYSON <br /> KRYS090 <br /> Re: Underground Tank Permit Fees: <br /> Facility Location : 907 S WILSON WAY MCKTON CA <br /> Billing for 1996 through 1989 fees for P&rwit to operate <br /> Statement Date : SEHEMER Q, 1929 <br /> Payment Due Date : 00TObER is, 19% <br /> FaciLity Fees : 1926 1987 15GO <br /> 100 . 00 i00. 00 00. 00 160 . <br /> Container Number : <br /> 1*�,rll% 0001 E-0. 00 S0.00 50. 00 -�,O . <br /> Tank 0002 SO.00 60 .00 50.00 so . : <br /> Tank 000,3' <br /> Tank 000a <br /> State Surcharge * <br /> Fca-; f zvro000 1 !.;b .(X) <br /> Tank 0002 S6. 00 <br /> Tank 000:3 <br /> TOTAL ANOUNT OF FEES DUE ; ----•-----•--------------------------- <br /> 3912 . Q) <br /> ------------------------------- <br /> 3912 . Q) <br /> if you nave any changes or <br /> corractions please call oar <br /> office when stat6sonL is. <br /> received. <br /> Penalty ' s will bo added aiter <br /> Q- due date an shown: <br /> 00 - jays at 100i & base fee <br /> Please remit with payment a copy <br /> of this statowant to <br /> San Joaquin Locit Hnaith District <br /> rnviroiapntal Hailth Permit wervjc&, <br /> >01 E mzaifo" Hve <br /> Stockton, CA 9S20. <br />