Laserfiche WebLink
PtBIi: HEALTH SEFi�v `ES, AN JC1AQtIIN COUNTY <br /> 1601 E. Hazelton Ave., F.D. Boz 2009 <br /> Stockton, CA 95201 <br /> (209) 468-3425 <br /> Jogi Khanna, M.D., Health Officer <br /> PAYMENT <br /> LINDE30 RECEIVED <br /> SHELL OIL SERVICE STATION BEN HOLT SIELL <br /> <br /> STOCKTtN, CA 95209 P SAN JO Q(�Ih Cri <br /> UBLI A U'+r <br /> ENVIgONMEN HF;IPEHVit"- <br /> Billing 'otat.ement For 1991) Permit, Underground Tank Facility. <br /> Statement Date ; January 2, 19`YJ <br /> Fayrilcrt. Due Date: February 2, 193() <br /> Facility Fee; 10(00 <br /> Container Number; All 50.00 <br /> 0004 50.00 <br /> WOS 50.00 <br /> TOTAL FEES DUE $3W 00 <br /> NOTES; <br /> Notify Public Health Services, <br /> San Joaqu n County of any <br /> corrections or changes <br /> necessary. Your permit will <br /> be mailed upon receipt of <br /> payment and approval of <br /> facility. <br /> Return payment along with one <br /> copy of this statewnt to; <br /> PUBLIC HEALTH SERVICES <br /> SAN JOAQUIN COUNTY <br /> ENVIRtLWITAL HEALTH FERMIT(SERVICES <br /> P.O. BOX :'mq <br /> STOCKTON, CA 95201 <br /> Penalties will be added after <br /> due date as shown; <br /> 30 .days - 100X of Base Fee <br />