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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P. 0. Box 2009 <br /> Stockton, CA 95201 <br /> (209) 466-6181 <br /> Jogi Khanna, M.D. , Health Officer <br /> . CALK I I9 <br /> . LES CALKINS INC . . LES CALKINS TRUCKING INC . <br /> P. 0. BOX 160 . 19501 N HWY 99 <br /> LODI , CA 95241 . ACAMP0, CA 95229 <br /> Billing statement for 1987 Permit Underground Tank Facility. <br /> Statement Date: march 15, 1987 <br /> Due: Anri l 15, L9 S7 <br /> Facility $ 100 <br /> Container # *Status <br /> 1 A 50 <br /> 2 A $50 - <br /> State surcharges @ $56 per tank x _ _ $ !� <br /> Subtotal of permit fees: $200 <br /> Additional Billings or Credits ,. <br /> $ <br /> TOTAL FEES DUE: $290.00 <br /> Penalties will be added Notify the San Joaquin Local Health District <br /> after 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 - 100% of Base Fee Return payment along with one copy of this <br /> statement to: <br /> San Joaquin Local Health District <br /> Environmental Health Permit/Services <br /> A - Active P. 0. Box 2009, Stockton, CA 95201 <br /> TC - Temporary Closure <br /> PC - Permanent Closure <br /> 0 0 <br />