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HEALTH SERVICES 'ol,PUBLIC .� <br /> SAN JOAQUIN COUNTY a xa <br /> JOGI KHANNA M.D.,M.P.H. <br /> Health Officer <br /> P.O. Box 2009 • (1601 East Hazelton Avenue) • Stockton,California 95201 <br /> �LIFORN <br /> (209)468.3400 <br /> ESCALON UNIFIED SCHOOL DISTRICT <br /> 1520 YOSEMITE AVE <br /> ESCALON, CA. 95320 JON <br /> f a, � F <br /> f <br /> ESCAL11 Sal UN ; <br /> BILLING STATEMENT r , pU ( • jou, <br /> FOR h ' �'-V,t.r��yCA f 'cc), , <br /> UNDERGROUND STORAGE TANKS r,r � ! Cr- <br /> Vj- <br /> RE: 1176 STANISLAUS STREET, ESCALON <br /> BILLING FOR PERMIT TO OWN AND OPERATE AN UNDERGROUND TANK SITE: <br /> 1990 PERMIT FEES <br /> STATEMENT DATE: MAY 30, 1991 <br /> DUE DATE: JUNE 30, 1991 <br /> 1990 1991 <br /> FACILITY FEE: $100. 00 N/A <br /> CONTAINER FEES <br /> TANK # 0001 $ N/A <br /> 0002 50. 00 <br /> 0003 50. 00 <br /> STATE SURCHARGE <br /> FEE: 0001 $N/A <br /> 0002 N/A <br /> 0003 N/A <br /> AMOUNT DUE: $ 200. 00 <br /> Penalties will be added after <br /> due date as shown: <br /> 30 days - 100% of Base Fee: <br /> NOTES: <br /> Notify Public Health Services, <br /> San Joaquin County of any <br /> corrections or changes. Your <br /> permit will be mailed upon <br /> receipt of payment and <br /> approval of facility. <br /> Return payment along with one <br /> copy of this statement to: <br /> Public Health Services - <br /> Environmental Health Division <br /> P.O. Box 2009 <br /> Stockton, CA. 95201 ugst.fil <br /> (209) 468-3427 <br /> A Division of San Joaquin County Health Care services <br />