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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Avenue, P 0 Box 2009 <br /> Stockton , CA 95201 <br /> (209)466-6781 <br /> Jogi Khanna, M.D. , Health Officer <br /> . FAA Airway Facilities Sector • TRACY00 <br /> . 21615 Hesperian Blvd. , Suite A Tracy IFST <br /> . Hayward, CA 94541 Schulte Rd. , E of Patterson Pass Rd. <br /> Tracy, CA 95376 <br /> Billing statement for 1986 & 1987 Permit Underground Tank Facility . <br /> Statement Date: July 21, 1987 Date Due August 21 1987 <br /> 1986 100.00 1987 <br /> Facility Facility <br /> Tank # *Status Tank # *Status <br /> PAYMENT <br /> -- __ RECEIVED <br /> AUG 2 11987 <br /> ENVIRONMENTAL HEALTH <br /> State surcharges @ $56 per tank x 1 $ 56.00 PERMITISERVICES <br /> Subtotal of permit fees 1986 $ 150.00 <br /> Subtotal of permit fees 1987 $ 90.00 <br /> TOTAL FEES DUE: $ 296.00 <br /> ' A - Active <br /> TC - Temporary Cl.ustir.e <br /> PC - Permanent Closure <br /> Notify the San Joaquin Local Health DistriCt of any correction'; or changes <br /> neccs:;a ry . <br /> lieturn payment along with one copy of this statement 1, <br /> San Joaquin Local Health District <br /> Environmental Health Permit/Services <br /> P 0 Box 2009 , Stockton , CA 95201 <br />