Laserfiche WebLink
SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 F. Hazelton Ave. , P. 0. Box 2009 <br /> Stockton , CA 95201 <br /> (209) 466-6781 <br /> Jogi Khanna, M.D. , Health Officer <br /> • TRADEI4 <br /> •TRADEWAY CHEVROLET CO. , INC. • TRADEVIAY CHEVROLET <br /> P. 0. BOX 872 . 1460 E. YOSEMITE AVE. <br /> MANTECA, CA 95336 •MANTECA, CA 95336 <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 # Status <br /> 1 A $ 50.00 <br /> $ PAYMENT <br /> — $ RECEIVED <br /> $ MAY <br /> — $ -ENVIRONMFNTk <br /> State surcharges @ $56 per tank x _ PERMIT/SERVICES�LT� <br /> Subtotal of permit fees: $ 15f].C10 <br /> Additional Billings or Credits <br /> S <br /> TOTAL FEES DUE : $ 150.00 <br /> Penalties will be added Notify the San Joaquin Local Health District <br /> after 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 <br /> payment along with one copy of this <br /> statement to: <br /> San Joaquin Local Health District <br /> Environmental Health Perinit/Services <br /> P. 0. Box 2009, Stockton , CA 95201 <br />