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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 /> . TUFF BOY, INC. . TUFFB51 <br /> 5151 ALMONDWOOD . TUFF BOY, INC. <br /> MANTECA, CA 95336 . 5151 ALMONDWOOD <br /> . MANTECA, CA 95336 <br /> Billing statement for 1987 Permit <br /> Underground Tank Facility. <br /> Statement Date: April 1, 1987 <br /> Due: May 1, 1987 <br /> Facility <br /> $ 100.00 <br /> Container N "'Status <br /> 1 A $ 50.00 <br /> PAYMgNT <br /> RECEIVED <br /> APR 16 Ijo I <br /> State surcharges @ $56 per tank x _ = ENVIRONMENTAL, HEALTH <br /> �- PERMIT/SERVICES <br /> Subtotal of permit fees: <br /> Additional Billings or Credits $150.00 <br /> OVERPAYMENT 1986 <br /> -$106.00 (credit) <br /> TOTAL FEES DUE: $ 44.00 <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 mailed upon receipt of payment <br /> 30 days - 100% of Base Fee 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 /> A - Active P. 0. Box 2009, Stockton, CA 95201 <br /> TC - Temporary Closure <br /> PC - Permanent Closure <br />