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Bi I 1 i ng Statement <br /> SAN JOAOUIN LOCAL HEALTH DISTRICT <br /> DIVISION OF ENYIRONMENTAL HEALTH <br /> PERMIT SERVICES <br /> 1601 E HAZELTON AVENUE STOC:KTON, CA. 95205 <br /> (209) 468 342& <br /> CITY OF LODI <br /> 221 W. FINE ST . <br /> LODI , CA 95240 <br /> ATTN M. LINOSETH <br /> CI TYOOt1 <br /> Rei Underground Tank Permit. Fees ; 1q <br /> Facility Location : LOCUST u MAIN STREETES <br /> Billing for 1986 through 1989 fees for Permit to operate <br /> Statement Date APRIL 21 , 19:39 <br /> Payment. Due Date ; MAY •21,, 1989 <br /> OK p Payee Facility Fees: 1986 1987 1988 1989 <br /> I WOO 00 100.00 100.00 1 Ci0,0p <br /> Container Number : <br /> oNtt- <br /> lank 0001 SO . 00 50. 00 50 . 00 60. 00 <br /> 'Mate :surcharge <br /> Fee : Tank 0001 56.(K) <br /> TO'iAL AMOUNT: OF FEES DUE: ---------------------------------------- <br /> $ 655..00 <br /> If <br /> you have any changes or , <br /> corrections please call our <br /> office when statement is <br /> received. <br /> Penalty ' s will be added after <br /> the due date as shown: <br /> 30 -- dais at. 100% of Mase fee <br /> Please remit with payment a copy <br /> of this ,statement to : <br /> San Joaquin Local Health District. <br /> E.nvironment.al Health Permit. Services <br /> 1601 E Hazelton Ave <br /> Stack.ton, (.:A 95: 05 <br />