Laserfiche WebLink
SAN JOAQLI� LOCAL HEALTH DI'STRIC:T <br /> 1601 E. Hazelton Ave. , P.O. Box 2009 <br /> Stockton, CA 952D1 <br /> (2091 168-:3425 fRl�j�JC�ji Khanna, .1.D. , Heal'h Officer m <br /> SCHAT15 AUS 2 V <br /> RODNEY SCHATZ RODP - .- c f 2 9 <br /> 16100 N. ALPINE ROAD E.1,01 N. ALPINE k ;* MEAT <br /> LODI, CA 9524x0 LORI, CA 952 . 111SERVICE�LTH <br /> Billing Statement. For 19n9 Pemi-t-,- Underground Tani; Facility . <br /> Staterrant Dj�te Au u�t•l -43 <br /> F'nyrnen �Dae irn3:e ember I , 929 <br /> Previous Balance <br /> F=acilit.'y' Fee: <br /> Container Number; 0001 50.00 <br /> TOTAL FEES DUE $205.00 <br /> NOTES: <br /> Notify the Sar. Joaquin Local <br /> Health District of any <br /> corrections or changes - <br /> necessary . Your permitwill <br /> to mailed upon receipt of <br /> payment and approval of <br /> facility . <br /> Return payment along with one <br /> -opt- of this statement to; <br /> SAN JOAQUIN LOCAL HEALTH DISfRIC'f' <br /> ctrl iRt1tME!' tkL HE^:LT:? 'r'EF:PiIT -'V'C'- <br /> P.O. <br /> t.tP.O. BOX 2009 <br /> STOCKTON, CA 9KCII <br /> Penalties will be added after <br /> due date as shown; <br /> 30 days - i00% of Base Fee <br />