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SM!!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 /> GELC041 <br /> CAPITAL VENTURE ENTERPRISES GELCO VEHICLE LEASING <br /> <br /> . STOCKTON, CA <br /> Billing statement for 1987 Permit Underground Tank Facility. <br /> Statement Date: JUNE 24, 1987 <br /> Due: JULY 15 1987 <br /> Facility S 100.00 <br /> Container N Status <br /> 50-00 <br /> �— PAYMENT <br /> RECEIVED <br /> — �— AUG 2G 1987 <br /> -State surcharges @ S56 per tank x _ _ SENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES <br /> Subtotal of permit fees : 5150.00 <br /> Additional Billings or Credits <br /> - S <br /> -TOTAL FEES DUE: 5150.00 <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 /> and approval of facility . <br /> 30 days - 100X of Base Fee Return paywnt along wtUt one copy of this <br /> statcinent to: <br /> San Joaquin Local Bealth Oistrict <br /> Environmental Health Perini t/Service; <br /> P. 0 Box 2009. Stockton . CA 95201 <br /> A - Active <br /> TC - Tenloorary Closure <br />