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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.D. , Health Officer <br /> . Risso Electric Ind. 'RISSO15 <br /> 1502 N. Palm Ave. •RISSO ELECTRIC IND. <br /> Stockton, CA 95205 •1502 N. PALM AVENUE <br /> •STOCKTON, CA 95205 <br /> Billing statement for 1987 Permit Underground Tank Facility. <br /> Statement Date: APRIL 15, 1987 <br /> Due: <br /> MAY 15 .1987 <br /> Facility <br /> y 100.{}0 <br /> Container # *Status <br /> 1 A5Q 00 <br /> State surcharges @ '$56 per tank x <br /> Subtotal of permit fees: <br /> 5150.00 <br /> Additional Billings or Credits <br /> 5 <br /> TOTAL FEES DUE: <br /> past due date as shown: <br /> Penalties will be added <br /> 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 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 />