Laserfiche WebLink
RKIC HEALTH SERVICES, SAN JOMIN "Y <br /> N. San Joaciin Street (NOT A MAILING AOOREba) J <br /> P.O. Box 2449 <br /> Stockton, CA 95241 <br /> i2491 468-3417 <br /> Jogi Khanna, M.O., Health Officer <br /> I I <br /> CHSTL41 I <br /> DEPT LY- FORESTRY/ CHARLOTTE CASTLE ROCK FIRE STATION <br /> <br /> TRACY, CA `-5376 <br /> Billirr3 Staient For 193, Permit.; Uslergrcdund Tank Facility. <br /> Statement Date ; April 3, 1991 <br /> ` Payment Uue Dat-; May 3, 7991 f <br /> I tontaarler fee i mI 174.(x) <br /> I State surcharge Ml 56.44 <br /> TOTAL FEES WE x226.44 <br /> � I <br /> I I <br /> I I <br /> NOTES' <br /> Notify Public Health Services, <br /> I San Joaquin Countv of any <br /> torrectaons or changes <br /> I necessary. Year permit will <br /> I be mailed upon receipt o', <br /> payment and approval of <br /> I faciiit.y. <br /> I I <br /> Return r:aywea. along wiU-i one <br /> tLV'Y of this statement to; <br /> PUBLIC HEALTH SERVICES <br /> N JOAWlM Cw1Y <br /> ENVIROWENTAL HEALTH PERMIMSERVICES <br /> I <br /> P.0. EOR 1449 <br /> STOCUON, CA 9SMi <br /> Penalties will tie added aft--r <br /> due date as shaven; <br /> 34 days - 100% of Ease Fee <br /> I 1 <br /> 1 <br /> I - I <br /> I I <br /> I - <br /> M <br />