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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 /> J09i Khanna, M.D. , Health Officer <br /> • T & T TRUCKIt4G TTTRUII <br /> 11396 NORTH HWY 99 T & T TRUCKING <br /> LODI , CA 95240 11396 NORTH HWY99 <br /> LODI , CA 95240 <br /> Billing statement for 1987 Permit <br /> . Underground Tank Facility. <br /> Statement Date: MAY 1 , 1987 <br /> Due: JUNE 1 , 1987 <br /> Facility <br /> $ 100.00 <br /> Container N Status <br /> 1 <br /> 2 L50.00 <br /> R 50.00 <br /> 50.00 <br /> State surcharges <br /> @ $56 per tank x <br /> Subtotal of permit fees: <br /> S 250.00 <br /> Additional Billings or Credits z� <br /> TOTAL FEES DUE: ---- _� <br /> 52.5Il (1— <br /> Penalties wi 1 ] be added —` <br /> Past due date as shogun: Notify the San Joaquin Local Health District <br /> 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 PayRoent along with one Copy of this <br /> statement to: <br /> San Joaquin Local Health District <br /> Active <br /> Environmental Health Permit/Services <br /> P- 0. Box 2009, Stockton, CA 95201 <br /> TC - Temporary Closure <br /> PC - Permanent Closure <br />