Laserfiche WebLink
1I <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Avenue, P 0 Box 2009 <br /> Stockton, CA 95201 <br /> (209)466-6781 <br /> Jogi Khanna, M.D. , Health Officer <br /> • DEPARTMENT OF FORESTRY CASTLOI <br /> • <br /> CORRAL HOLLOW RD. <br /> TRACY, CA 95376 <br /> Billing statement for 1986 & 1987 Underground Tank Facility. <br /> Statement Date: OCTOBER 26. 1987 Date Due NOVEMBER 15, 1987 <br /> 1986197 <br /> y 100.00 Fac <br /> Facility ility 100.00 <br /> aci <br /> Tank # *Status Tank # *Status <br /> 1 A S 50 1 A $ 50 <br /> P P,Y�`�EO <br /> — -- -- REG <br /> SState surcharges @ $56 per tank x I $ 56.00 ${1V�Q��M �SER�CES`�N <br /> Subtotal of permit fees 1986 $150.00 <br /> Subtotal of permit fees 1987 $ 150.-00 <br /> TOTAL FEES DUE: $ 356 .00 <br /> *A - Active <br /> TC - Temporary Closure <br /> PC - permanent Closure <br /> Notify the San Joaquin Local health District of any corrections or changes <br /> neces!:iry . <br /> Return payment along with one copy of this statement to: <br /> San Joaquin Local Health District <br /> Environmental Health Permit/Services <br /> P 0 Box 2009 , Stockton, CA 95201 <br />