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* <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Avenue, P O Box 2009 <br /> Stockton , CA 95201 <br /> (209)466-6781 <br /> Jog! Khanna, M.D. , Health Officer <br /> ' CALIFORNIA HIGHWAY PATROL CALIF38 <br /> • <br /> 385 W.GRANTLINE RD. <br /> TRACY, CA 95376 <br /> Billing statement for 1986 & 1987 Underground Tank Facility . <br /> Statement Date: NOVEMBER 3, 1987 Date Due NOVEMBER 30, 1987 <br /> 1986 1987 <br /> Facility _ $100 Facility $100 <br /> Tank N *Status Tank p *Status <br /> 1 _ A S 50 1 A S 50 <br /> State surcharges $56 per tank xi $ 56.00 <br /> Subtotal of permit fees 1986 $_ 150.00 <br /> Subto"I of permit fees 1987 $ 150.00 I <br /> Tcrrnl. FI•:Is uue: $356.00_ <br /> *,1 <br /> TC - '1'empotar� <br /> PC P(.1-111allf-111 <br /> NoLily the S:111 Ju:uluin Luuil Ilcallh DIKLr] t' t ul any rurt'ectlun.; ..r han ..; <br /> n •rc::�:ar�' <br /> RuLurn payment alum; �*• I Lh un-' Copy of Lhis sLatement Lo: <br /> San Joaquin Local Health District <br /> Environmental Health Permit/Services <br /> P O Box 2009 , Stockton , CA 95201 <br /> PENALTIES WILL BE ADDED <br /> PAST DUE DATE AS SHOWN: <br /> 30 DAYS - 100% of Base Fee <br />