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N � , <br /> 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 /> SANTA FE RR SANTA01 <br /> P. 0. BOX 1947 SANTA FE RR <br /> FRESNO, CA 93718 N/E CORNER OF SCOTTS & S.P. TRACKS <br /> STOCKTON, CA <br /> Billing statement for 1986 - 1987 , Underground Tank Facility. <br /> Statement Date: JUNE 24, 1987 Date Due ,JULY 15, 1987 <br /> 1986 1987 <br /> Facility 8100.00 Facility $100.00 <br /> Tank # *Status Tank N *Status <br /> 1 A S 50.00 1 A S 50.00 <br /> 2 A 50.00 2 A 50.00 <br /> PAYMENT <br /> RECEIVED <br /> �UG 7 1987 <br /> State surcharges @ $56 per tank x 2 $ 112.00 <br /> — ENVIRONMENTAL HEALTH <br /> Subtotal of permit fees 1986 $ 200.00 PERMIT/SERVICES <br /> Subtotal of permit fees 1987 $ 200.00 <br /> TOTAL FEES DUE: $ 512.00 <br /> *A - Active <br /> TC - Temporary Closure <br /> PC - Permanent Closure <br /> Notify the San Joaquin Local Health District of any corrections or changes <br /> necessary . <br /> Return payment along with one copy of this statement to : <br /> San Joaquin Local Health District <br /> Environemntal Health Permit/Services <br /> 11 0 Box 2009, Stockton , CA 95201 <br />