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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P. 0. Box 2009 <br /> Stockton, CA 95201 0II;t 1 5 187 <br /> (209) 466-6781 ENVIROMENTAL HEALTH <br /> Jogi Khanna, M.D. , Health Officer FERMIT/SERVICES <br /> PACIF83 <br /> PACIFIC COAST PRODUCERS PACIFIC COAST PRODUCERS <br /> P. 0. BOX 159 835 S. STOCKTON <br /> LODI , CA 95241 LODI , CA 95240 <br /> Billing statement for 1987 Permit , Underground Tank Facility. <br /> Statement Date: SEPTEMBER 3, 1987 <br /> Due: OCTOBER 3, 1987 <br /> Facility $ 100.00 <br /> Container # Status <br /> 5A $ 54.00 <br /> 6 - $ 50.00 <br /> State surcharges @ $56 per tank x 2 = X112.00 <br /> r <br /> Subtotal of permit fees: $ 312.00 <br /> Additional Billings or Credits <br /> $ <br /> TOTAL FEES DUE: $ 312.00 <br /> Penalties will be added Notify the San Joaquin Local Health District <br /> past due date as shown: of any corrections or changes necessary. <br /> Permit will be mailed upon receipt of payment <br /> and approval of facility. <br /> 30 days - 100% of Base Fee Return payment along with one copy of, 13 <br /> I. •� <br /> statement to: ; ... , <br /> San Joaquin Local Health District <br /> Environmental Health Permit/Servicesco <br /> n 1 <br /> A - Active <br /> P. 0. Box 2009, Stockton, CA 95201 �F© <br /> VD <br /> TC - Temporary Closure > <br /> PC - Permanent Clasurej ,f <br />