Laserfiche WebLink
PUBLIC HEALTH SERVICES <br /> PP u.!H <br /> SAN JOAQUIN COUNTY <br /> JOGI KHANNd M. - H, i t) <br /> Heath Off' er <br /> P.O. Box 2009 . (1601 East Hazelton Ave ue) Stockton, California 95201 c'�'gija NvP <br /> (209) 468-34 / <br /> l <br /> T <br /> Don Morris RECEIVED <br /> <br /> / DEC J 1990 <br /> I ENVIRONMENTAL HEALTH <br /> �il 1 <br /> BILLING STATEMENT PERMIT/SERVICES <br /> UNDERGROUND FUEL STORAGE T KS <br /> Facility Location: 3245 N. Wilson Way, Stockton. <br /> Billing for 1986-1990 fees for permit to operate an Underground <br /> Tank site. <br /> Statement Date: December 3 , 1990 <br /> Payment Due Date: January 3, 1990 <br /> Facility Fees: 1986 1987 1988 1989 1990 <br /> $100. 00 100. 00 100. 00 100. 00 100. 00 <br /> Container Fees: <br /> Tank 0001 50. 00 50. 00 50. 00 50. 00 50. 00 <br /> State Surcharge <br /> Fee: Tank 0001 56. 00 <br /> TOTAL Al-IOU14T DUE: <br /> $ 806. 00 <br /> If you have any changes or corrections please <br /> call our office when statement is received, at <br /> (209) 468-3427 . <br /> Penalty's will be added after 30-days at <br /> 100% of base fee. <br /> Please remit along with payment one copy of this <br /> statement to: <br /> PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIV. <br /> P.O.BOX 2009 <br /> STOCKTON, CA. 95201 <br /> A Division of San Joaquin Countv Health Care Services <br />