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�� <br /> AN JOAQUIN Li}CAL HEALTH c��lHICT <br /> 1601 E Hazelton AYe , P . O . Box 2009 <br /> Stockton/ Ca 95201 <br /> Jo3i Khanna, M . W . Health Officer <br /> ( 209) 468-3426 <br /> Albert & Q*s8 RiChi0a JOESS22 <br /> 415 Sycamore <br /> Manteca, CA 95336 <br /> RE : Underground Tank Facility located at ' 224 Park Ave Manteca, C8: . <br /> Billing for_ lW86._�9�Z'�qd-�l88 fees for Permit to operate . <br /> Statement Date� � <br /> Payment Due Date 15° ] <br /> 1986 1987 1988 <br /> Facility Fee= :108^00 100^00 100^00 <br /> Gontainer Number ; <br /> Tank 0O01 50"00 50^00 5U^00 <br /> Tank <br /> Ta�k <br /> Tank & 4 <br /> .�" <br /> State Surcharge <br /> if you have any chan9es or Fee. <br /> corrections Please cai1 our <br /> Tank 8001 56.00 <br /> office immediately upon reciept ^°~=°~~-^~~~~~-~~~°-~~_~ <br /> of this statement Total Fees Due:u506.00 <br /> Penalty ' s wiLL be added after toe <br /> due date as shown / <br /> 30 ' days at 100% of base <br /> ' <br /> NOte: Fees Due for failure to submit closure plans. , <br /> � <br />