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PUBLtHEALTH SEIICES <br /> z J4 ;n, <br /> SAN JOAQUIN COUNTYJOGI KHANNA M.D.,M.P.HHealth Officer � . <br /> 96.19 OP ` <br /> P.O. Box 2009 (1601 East Hazel 468 venue3400) Stockton,California 95201 <br /> Robert Beckham <br /> 133 Valley Oaks DR. <br /> Santa Rosa, CA. 95409-6229 <br /> November 27 , 1990 <br /> BILLING STATEMENT <br /> UNDERGROUND STORAGE TANKS <br /> FACILITY LOCATION: 2000 Sanguinetti Lane, Stockton,CA. 95205 <br /> Billing for 1986-1990 fees for permit to operate an Underground <br /> Tank Facility. <br /> Statement Date: November 27 , 1990 <br /> Payment Due Date: December 27 , 1990 <br /> Facility Fees: $ <br /> Container Fees: <br /> Tank 0001 $ <br /> Tank 0002 <br /> Tank 0003 250. 00 <br /> State Surcharge <br /> Fee: <br /> Tank 0001 <br /> Tank 0002 <br /> Tank 0003 56. 00 <br /> TOTAL AMOUNT OF FEES DUE: $306. 00 <br /> If you have any changes or <br /> correctionsplease call our <br /> office when statement is <br /> received at (209) 468 3427 . <br /> Penalty' s will be added after <br /> the due date shown. <br /> 30 - days at 100% of base fee. <br /> Please remit with payment one copy of this <br /> statement to : <br /> PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISION <br /> P.O. Box 2009 <br /> STOCKTON, CA 95205 <br /> A Division of San Joaquin County Health Care Services <br />