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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Avenue, P O Box 2009 <br /> Stockton , CA 95201 <br /> (209)966-6781 <br /> Jogi Khanna, M.D. , Health Officer <br /> AIRPORT WAY LUBE AIRP044 <br /> 442 AIRPORT WAY AIRPORT WAY LUBE <br /> . STOCKTON, CA 95205 442 AIRPORT WAY <br /> STOCKTON, CA 95805 <br /> Billing statement for 1986 & 1987 Underground Tank Facility. <br /> Statement Date: NOVEMBER 16, 1987 Date Due NOVEMBER 30, 1987 <br /> 1986 1987 <br /> Facility - $100Facility $100 <br /> Tank N *Status Tank # *Status <br /> 1 A g 50 1 A g 50 <br /> State surcharges @ $56 per tank x 1 = $ 56.00 <br /> Subtotal of permit fees 1986 $ 150.00 <br /> Subtotal of permit fees 1987 $ 150.00 <br /> Tarnl, r r•.1•;S DUI-,: $_ _356.00 <br /> *A - Active - - <br /> TC - Temporal''v Clo;;uro <br /> PC - Permanent. Clo:;urf- <br /> i <br /> Notify the San Joaquin Local Health Di :;l <br /> ncce:;: rrir of ;ury correcLron:; or changes;a � . <br /> ficturn payment alonl, wi III on Copy of this; :,LaLenient to : <br /> San Joaquin Local Health District <br /> Environmental Health Permit/Services <br /> P 0 Box 2009, Stockton , CA 95201 <br /> PENALTIES WILL BE ADDED <br /> PAST DUE DATE AS SHOWN: <br /> 30 DAYS - 100% OF BASE FEE <br />