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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P. 0. Box 2009 <br /> Stockton, CA 95201 <br /> (209) 466-6781 <br /> J091 Khanna, M.D. , Health Officer <br /> �1 <br /> FRANK C. ALEGRE TRUCKING, INC. • ALEGR80 <br /> <br /> • 802 N. CLUFF AVENUE <br /> . LODI , CA 95240 <br /> Billing statement for 1987 Permit Underground Tank Facility. <br /> Statement Date: _.MAY 1, 1987 <br /> Due: JUNE 1, 1987 <br /> Facility g 100.00 <br /> Container N *Status <br /> 1 A b 50.00 <br /> �— A $ 50.00 <br /> �- A b 50.00 <br /> 4 A —00 PAYMENT <br /> —� A RECEIVED <br /> $- MAY 2 7 1987 <br /> State surcharges @ $56 per tank x _ _ $ .ENVIRONMENTAL HEALTH <br /> Subtotal of permit fees: E ignon <br /> PERMIT/SERVICES <br /> _ <br /> Additional Billings or Credits �q T <br /> Additional fees for 1986 <br /> (1 active and surcharge) S 106.00 <br /> TOTAL FEES DUE: 5456-on <br /> Penalties will be added Notify the San Joaquin Local Health District <br /> past 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 Permit/Services <br /> A - Active P. 0. Box 2009, Stockton. CA 95201 <br /> TC - Temporary Closure <br /> PC - Permanent Closure <br />