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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 />Jogi Khanna, M.D., Health Officer <br />STOCKTON UNIFIED SCHOOL DISTRICT <br /> <br /> <br />EDIS014 <br />STOCKTON UNIFIED SCHOOL DISTRICT <br />EDISON HIGH SCHOOL <br />1425 S. CENTER STREET <br />STOCKTON, CA <br />Billing statement for 1987 Permit , Underground Tank Facility. <br />Statement Date: MAY 1, 1987 <br />Due: JUNE 1. 1987 <br />Facility $ 100.00 <br />Container N Status <br />_ I A $ 50.00 <br />-2 A $ 50.00 <br />State surcharges @ $56 per tank x _ = S_ <br />Subtotal of permit fees: <br />Additional Billings or Credits <br />Penalties will be added <br />past due date as shown: <br />30 days - 100% of Base Fee <br />A - Active <br />TC - Temporary Closure <br />PC - Permanent Closure <br />TOTAL FEES DUE: <br />FA`f MINT <br />RECEIVED <br />JUN 191987 <br />S 200,00NVI1ERWTISLTAL TH <br />ERVICES <br />S <br />Notify the San Joaquin Local Health District <br />of any corrections or changes necessary. <br />Permit will be mailed upon receipt of payment <br />and approval of facility. <br />Return payment along with one copy of this <br />statement to' ---- <br />San Joaquin Local Health District <br />Environmental Health Permit/Services <br />P. 0. Box 2009, Stockton, CA 95201 <br />