Laserfiche WebLink
cA✓JOAQUltd LOCAL HEALTH GIcTRI'C't <br /> '9 15731 E Hazelton Ave. <br /> Y.D. Bit 2069 <br /> Stockton, C:a. X5;201 <br /> Jog, Kha,va, M.D. ,M.P.H. Health Office,, PAYMENT <br /> i2f)9) 46-8-34 :S RECEIVED <br /> ENVIRONNENTAL HEALTH DIVISION <br /> THASET ,M KAflABALA <br /> <br /> <br /> PERMITISERVICES <br /> RE: Underground dank Facility located at: ?686 W COUNTRY CLUB STOC:KTON <br /> Billing for. fees for Permit to operate. — <br /> Statement Date , FEBRUARY 15, 1989 <br /> Payment- Due Date : MARCH 1, 1989, <br /> Facility Fees, 1988 1989 <br /> $ 100.00 100.00 <br /> Container Number: <br /> 'tank 0001 50.00 50.1',(j <br /> Tank 0002 <br /> Tank_ 000•.,' <br /> Tank 0004 <br /> State Surcharge <br /> Fee: Tank 0001 <br /> Tani: <br /> Tank <br /> PENALTY ON i988 <br /> FEES: XX)O( 16 <br /> TOTAL FEE'S DUE,, _ <br /> s46X )C3C1( 300.00 <br /> T-------- ------ <br /> If you have any changes or Fees paid $ -250.00 <br /> correctio, s please tali our ------------------ . <br /> office immediately upon reciept Balance Due: $ 50.00 <br /> of this statement. <br /> Penalty's will be added after the, <br /> due date as shown: <br /> 30 - days at 100% of base fee: <br /> w <br />