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SH UAQUIN LOCAL HEAL'1'll DIST 1' <br /> 160WE HAZELTON AVE. , P.O. BOX 09 <br /> STOCKTON, CA 95201 <br /> • a JOGI KHANNA, M.D. , HEALTH OFFICER <br /> K <br /> <br /> <br /> <br /> <br /> y�\R0 BSER,SES <br /> BILLING STATEMNT FOR UNDERGROUND STORAGE TANK PERMIT: PE <br /> STATEMENT DATE: APRIL 1, 1988 <br /> PAYMENT DUE DATE: MAY 1, 1988 <br /> Balance for 1986 Permit: <br /> 86- Facility Fee: 100 . 00 <br /> Container Fee: <br /> Tank #0001 50 . 00 <br /> Tank #0002 50 . 00 <br /> Tank #0003 50 . 00 <br /> Surcharge Fee: <br /> Tank #0001 56.00 <br /> Tank #0002 56 . 00 <br /> Tank' #0003 56 . 00 <br /> Closure Fee: <br /> Tank #0001 90 . 00 <br /> Tank #0002 90 . 00 <br /> Tank #0003 90 -00 <br /> Plan Check Fee: 30. 00 <br /> TOTAL FEES DUE: $718 . 00 <br /> NOTES: <br /> Notify the San Joaquin Local Health District of any corrections <br /> or changes necessary. Your permit will be mailed upon receipt <br /> of payment and approval of facility. <br /> RETURN PAYMENT ALONG WITH ONE COPY OF THIS STATEMENT TO: <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> P.O. BOX 2009 <br /> STOCKTON, CA 95201 <br /> Penalties will be added after due date as shown: 30 days - 100% of base fee <br />