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T - <br /> 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 /> SAN JOAQUIN COUNTY STOCK50 <br /> <br /> STOCKTON METROPOLITAN AIRPORT <br /> 6000 S. AIRPORT WAY <br /> MCKTON, CA 95206 <br /> Billing statement for __ 1987 Permit _ , Underground Tank Facility. <br /> Statement Date: SEPTEMBER 3, 1987 Due OCTOBER 3, 1987 <br /> Facility $ 100.00 <br /> Container N *Status Container N *Status <br /> 1 A 350_ _8— A $50 pEN <br /> 2 �— 5.0.— _ 9 �_ 50 �$yT t,�V1LE� <br /> 3 �- 50 in A 50 Q <br /> 5 —A 55� — 12 —A— 50 RPT ;� YPI <br /> KV16 p17 A 50 � ;v; XU4State surcharges @ $56 per tank x = $ 1 <br /> Subtotal of permit fees : $ 750.00 <br /> Additional Billings or credits (Balance Due 1986) $ 128.00 <br /> TOTAL FEES DUE : $ 878.00 <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 walled upon receipt of payment <br /> and approval of facility. <br /> 30 days - 100% of Base fee Return 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. Bo. 2009, Stockton. CA 95201 <br /> TC - Temporary Closure <br /> PC - Permanent Closure <br /> *40910 y <br />