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PUBLI� HEALTH SEIRICES oPa �o <br /> SAN JOAQUIN COUNTY r' <br /> JOGI KHANNA M.D.,M.P.H. t ` <br /> Health Officer <br /> P.O. Box 2009 . (1601 East Hazelmn Avenue) Stockton, California 95201 c'Fblk' <br /> (209) 468-3400 <br /> Bryson' s Heating & Air Conditioning <br /> 907 S. Wilson Way <br /> Stockton, Ca. 95205 ! <br /> BRYSO90 03,-� // ) <br /> BILLING STATEMENT IIJJ <br /> UNDERGROUND FUEL STORAGE TANKS <br /> Facility Location: 907 S. Wilson Way, Stockton, CA. <br /> Billing for 1986-1990 fees for permit to operate an Underground <br /> Tank site. <br /> Statement Date: January 29 , 1991 <br /> Payment Due Date: February 28, 1991 <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 /> Tank 0002 50. 00 50. 00 50. 00 50. 00 50. 00 <br /> Tank 0003 N/A <br /> State Surcharge <br /> Fee: Tank 0001 56. 00 <br /> Tank 0002 56. 00 <br /> TOTAL AMOUNT DUE: <br /> $1, 112 . 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 /> 1000 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 /> �ivision of San Joaquin County Health Care Services <br />