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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 /> Jogi Khanna, M.O. , Health Officer <br /> h9UNIC25 <br /> CITY OF STOCKTON IPAL UTILITIES <br /> MUNICIPAL UTILITIES CITY OF STOCKTON-MUNIC <br /> 2500 NAVY DRIVE <br /> C/O Don King STOCKTON, CA 95206 <br /> 2500 NAVY DRIVE <br /> STOCKTON, CA 95206 <br /> filling statement for 1987 Permit , Underground Tank Facility. <br /> Statement Date: MAY 1, 1987 <br /> Due: JUNE 1 , 1987 <br /> Facility $ 100.00 <br /> a <br /> Container # *Status ��� ;��L - (z ,,,,,.EA—� <br /> 1 �ac3 <br /> 2 A 50.0 <br /> 3 A 50.00 <br /> 4 A50.0O <br /> A 5 JO.00 SiC� a�fc I ��s�c c+lc"afc"✓cy G2 <br /> 6 A L-50.00 s0c.- �✓�s�� f4 ��tr,•�y <br /> ate surcharges @ $56 per tank x <br /> Subtotal of permit fees: $ 400.00 <br /> ditional Billings or Credits <br /> + <br /> Additional fees for 1986 $ 212.00 <br /> T-2tanks & 2 surcharges $--� <br /> TOTAL FEES DUE: <br /> -ialties will to added !Notify the San Joaquin Local Health District <br /> it 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 r <br /> Environmental Health Permit/Services I ,; <br /> A - Active P. 0. Box 2009, Stockton, CA 95201 <br /> - Temporary Closure MAY <br /> - Permanent Closure ENVVRUIMENTAL HEALTH <br /> F ERMIT/SERVICES <br />