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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 /> 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: Y 151_ 1987 <br /> Facility 100.00 <br /> Container # Status <br /> 1 A t-10.00 PAYMENT <br /> RECEIVED <br /> MAY 1 1981 <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES <br /> State surcharges @ '$56 per tank x <br /> Subtotal of permit fees: <br /> $ 150.00 <br /> Additional Billings or Credits <br /> TOTAL FEES DUE: �}0 <br /> Penalties will be added <br /> the San Joaquin Local Health District <br /> past due Notify date as shown: 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 />