Laserfiche WebLink
SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P. 0. Box 2009 <br /> Stockton, CA 95201 <br /> (209) 466-6781 <br /> Jogi Khanna, M.D. , Health Officer <br /> CHEVRON USA, INC. CHEVRI3 <br /> 139 SOUTH CENTER STREET CHEVRON STATION #90557 <br /> STOCKTON, CA 95202 . 139 SOUTH CENTER STREET <br /> . STOCKTON, CA 95202 <br /> Billing statement for 1987 Permit Underground Tank Facility. <br /> Statement Date: MAY 1. 1987 <br /> Due : JUNE 1, 1987 <br /> Facility S 100.00 <br /> Container # "Status <br /> 1 A 500, . <br /> 2 A 50.00 <br /> 3 A 10 0 <br /> 4 A0 <br /> - - 2— <br /> State surcharges @ $56 per tank x _ = tom_ <br /> Subtotal of permit fees: S 300.00 _ <br /> Additional Billings or Credits <br /> TOTAL FEES DUE: <br /> S 300.00 <br /> Penalties will be added Notify the San Joaquin Local—Health District <br /> past due date as shown: of any corrections or changes necessary. <br /> Permit will be mailed upon receipt of payment <br /> and approval of facility. <br /> JO days - 100% of Base Fee Return payment along with one copy of this <br /> statement to: <br /> San Joaquin Local Health District <br /> • Enviromio ntal Health Permit/Services <br /> A - Active P. 0. Box 2009, Stockton, CA 95201 <br /> TC - Temporary Closure <br /> Pi - l'crai.int,nt closure <br />