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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.O. , Health Officer <br /> B.K. FRAHM CORPORATION FRAHM82 <br /> P.O. BOX 8744 B.K. FRAHM CORP. CONST. YARD <br /> STUCKION, CA 95208 820 S. AMERICAN <br /> STOCKTON, CA 95206 <br /> Billing statement for 1987 Permit Underground Tank Facility. <br /> Statement Date: MAY 8, 1987 <br /> Due: Jl 8. 1987 <br /> Facility S 100.00 <br /> Container M •Status <br /> A 5 50-UO <br /> A50.00 <br /> —•i-- A 50.00 <br /> State surcharges @ $56 per tank x _ _ �— <br /> Subtotal of permit fees: <br /> SL4�.O <br /> Additional Billings or Credits <br /> _ S <br /> TOTAL FEES DUI : S 250.00 <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 Perinit/Services <br /> A - Active P. 0 Box 2009 , Stockton , CA 95201 <br /> TC - Temporary Closure <br /> P( - Pe rn.n nr of C1nSur,. <br />