Laserfiche WebLink
r <br />ly <br />PUBLIC HEALTH ER'VICES, SHAN JOAQUIN COUNTY <br />44S N. '_an Joaquin Street tNOT A MAILING ADDRESS) <br />P . O . Bov 2009 <br />Stockton, CA 95201 <br />;209) 46c'-3427 <br />Jori Khanna, M.D., Health Officer <br />THREE P'ALM'S GROCERY <br />6232 E HWY 28 <br />STOCkTON, CA 9620S <br />THREEE7 <br />THREE PALMS GROCERY <br />67 E. HIGHWAY SC; <br />STOCKTON, CA 9S205 <br />Billing Statement For 1992 Permit, Underground Tank Facility. <br />Statement. Date : January 10, 1992 <br />Payment Due Date: February 10, 1592 <br />NOTES: <br />NotIf'y Public Health Services, <br />San Joaquin County of any <br />corrections or changes <br />necessary. Your permit. -oil! <br />be mailed upon receipt of <br />payment and approval of <br />facility - <br />Return payment along with one <br />copy of this statement to: <br />PUBLIC HEALTH=.ERb`ICES <br />SAN JOAQUIN COUNTY <br />Etr"vIRDNMENTAL 'HEALTH e'ERMI IISER1IC:E <br />P.O. _BOX 2009 <br />STIICKTON, CA '=5031 <br />Penalties will be added after <br />due date as shown: <br />30 days - 200% of Base Fee <br />Previous Balance <br />State surcharge 000-1 <br />Container fee 0002 <br />0002 <br />TOTAL FEES DUE <br />226. 00 - <br />SA. 00 <br />170.00 <br />170.00 <br />$170.00 <br />PAYMENT <br />RECEI 99 <br />JAN 2 <br />RQW ALHEALTH D V�S ON <br />ENY <br />y <br />