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PUBLIC HEALTH SERVICES ��� Co <br /> SAN JOAQUIN COUNTY A <br /> JOG[ KHANNA IN{.D.,M.P.H. <br /> Health Office[ Cq'••.......r1tP <br /> P.O. Box 2009 0 (1601 East Hazelton Avenue) <br /> • Stockton, Caltfomia 95201 o R <br /> (209) 468-3400 <br /> ESCALON UNIFIED SCHOOL DISTRICT <br /> 1520 YOSEMITE AVE <br /> ESCALON, CA. 95320 <br /> ESCALII <br /> BILLING STATEMENT <br /> FOR <br /> UNDERGROUND STORAGE TANKS <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. Sox 2009 <br /> Stockton, CA. 95201 ugst.fil <br /> (209) 468-3427 <br /> A Division of San Joaquin CountyHealth Care Senices 10 <br />