Laserfiche WebLink
SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P. 0. Box 2009 <br /> Stockton, CA 95201 <br /> (209) 466-6781 <br /> Jogi Khanna, M.D. , Health Officer <br /> CALIF13 <br /> CALIFORNIA CEDAR PRODUCTS CALIFORNIA CEDAR PRODUCTS <br /> p. 0. BOX 528 1340 W. Washington <br /> STOCKTON, CA 95201 Stockton, CA 95203 <br /> Billing statement for 1987 Permit Underground Tank Facility. <br /> Statement Date: APRIL 15, 1987 <br /> Due: MAY 15, 1987 <br /> Facility $ 100.00 <br /> Container H *Status <br /> 1 q $ 50.00 <br /> 2 q �b -u <br /> 3 q 0 <br /> 4 7- g�0 PAYMENT <br /> 5 q � O RECEIVED <br /> MAY 4 1981 <br /> State surcharges @ $56 per tank x _ � ENVIRONMENTAL HEALTH <br /> PERMITISERVICES <br /> Subtotal of permit fees: X50.0.0 <br /> Additional Billings or Credits <br /> (Debit 1986- additional tank & surcharge fee) $ 106.00 <br /> TOTAL FEES DUE: 5_456.00 <br /> Penalties will be added Notify the San Joaquin Local Health District <br /> past due date as shown: of any corrections or changes necessary. <br /> Permit will be mailed upon receipt of payment <br /> and approval of facility. <br /> 30 days - 100% of Base Fee Return payment along with one copy of this <br /> statement to: <br /> San Joaquin Local Health District <br /> Environmental Health Perinit/Services <br /> t P. 0. Box 2009, Stockton , CA 95201 <br /> A - Active <br /> TC - Temporary Closure <br /> PC - Permanent Closure <br />