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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Avenue , P O Box 2009 <br /> Stockton, CA 95201 <br /> (209)466-6781 <br /> Jogi Khanna, M.D. , Health Officer <br /> •DIAMOND WALNUT DIAM010 <br /> •P. 0. BOX 1727 DIAMOND WALNUT <br /> •STOCKTON, CA 95201 1080 S. DIAMOND <br /> STOCKTON, CA 95205 <br /> Billing statement for 1987 Underground Tank Facility. <br /> Statement Date: nrTnaE 20_ 1987 Date Due OCTOBER 31, 1987 <br /> 1986 1987 <br /> Facility Facility $100.00 <br /> Tank # *Status Tank # *Status <br /> 1 -A $te- 7 A $5n PpVMlN'T <br /> p <br /> 50 8 T_ 50 RECEIVE <br /> C50 7/87 _� PG 94— <br /> A 50 —ENVIRONMENTAL HE LTH <br /> State surcharges @ $56 per tank x 4 = $ 224.00 <br /> Subtotal of permit fees 1986 $ 200.00(4 additional tanks) <br /> Subtotal of permit fees 1987 $ 540.00 <br /> TOTAL FEES DUE: $ 964.00 <br /> *A - Active <br /> TC - Temporary Closure <br /> PC - Permanent Closure <br /> Notify the San Joaquin Local Ilealth District of any corrections or changes <br /> necessary . <br /> Return payment along with one copy of this statement to: <br /> San Joaquin Local Health District <br /> Environemntal Health Permit/Services <br /> P O Box 2009 , Stockton , CA 95201 <br /> PENALTIES WILL BE ADDED <br /> PAST DUE DATE AS SH0WN: <br /> 30 DAYS- 100% of BASE FEE <br />