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 /> SAN13ORN CHEVROLET INC. . SANBO12 <br /> 1210 S CHEROKEE LANE SAN BORN CHEVROLET <br /> LODI , CA 95240 1210 S CHEROKEE LANE <br /> LODI , CA 95240 <br /> Billing statement for 1981 t Underground Tank Facility. <br /> Statement Date: _!LAY 1 , 1987 <br /> Due: JUNE 1, 1987 <br /> Facility f 100.00 <br /> Container M Status <br /> 1 A5s 0 <br /> 2 s 7'T— <br /> State surcharges @ $56 per tank x <br /> Subtotal of permit fees: 5200 <br /> Additional Billings or Credits <br /> S <br /> TOTAL FEES DUE : S 200 .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 /> JO days - 100X of Base fee and approval of facility. <br /> Return payment along with one copy of this <br /> statement to: <br /> San Joaquin Local Health District <br /> • Environmental Health Permit/Services <br /> A - Active P. 0. Box 2009, Stockton, CA 95201 <br /> TC - Temporary Closure <br /> PC - Permanent Closure <br />