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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave . , P. 0. Box 2009 <br /> Stockton, CA 95201 <br /> (209) 466-6 781 <br /> Jogi Khanna, M.D. , Health Officer <br /> CORRECTED STATEMENT <br /> ENGIN11 <br /> CI'T'Y OF STOCKTON CITY OF STOCKTON <br /> 425 N . EL DORADO, ROOM 312 ENGINE COMPANY #2 <br /> STOCKTON , CA 95202 110 W. SONORA <br /> STOCKTON , CA <br /> Billing statement for 1987 Permit Underground Tank Facility. <br /> Statement Date: JUNE 1 , 1987 <br /> Due: JULY 1 , 1987 <br /> Facility 5 100 <br /> Container # *Status <br /> --I A 50 . 00 <br /> 2 A 50 . 00 PAYMENT <br /> 3 50 . 00 RECEIVED <br /> 4 A 50 . 00 <br /> JUN 3 1987 <br /> $ ENVIRONMENTAL HEALTH <br /> �— <br /> PERMIT/SERVICES <br /> l4J`� / <br /> Subtotal of r - <br /> permit fees: $ 300. 00 <br /> y _(.0 <br /> Additional Billings or Credits <br /> 6TH ANK & SURCHARGES 1980 <br /> � 106 .00 <br /> TOTAL FEES DUE: 406 .00 <br /> Penalties will be added Notify the San Joaquin Local Health District <br /> after due 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 , fr. 11,)201 <br /> 1i - Trr.;lr�r,t ry ( 1 tl . ir + <br />