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SAN J©AQUIN LOCAL HEALTH DISTRICT <br />1601 E. Hazelton Avenue, P o Box 2009 <br />Stockton, CA 95201 <br />(209)466-6781 <br />Jogi Khanna, M.D., Health Officer <br />GEORGIA -PACIFIC CORPORATION <br />• 133 PEC'ITIREE ST . , N.E. <br />• ATLANTA, GA. 30303 <br />Billing statement for <br />Statement Date: <br />1986 - 1987 <br />AUG. 25, 1987 <br />1986 <br />1987 <br />Facility <br />$100.00 <br />Facility <br />Tank # <br />*Status <br />Tank <br />1 <br />A <br />50 <br />1 <br />2 <br />A <br />50 <br />2 <br />3 <br />A <br />50 <br />3 <br />4 <br />A <br />50 <br />4 <br />5 <br />A <br />50 <br />5 <br />State surcharges @ $56 per tank x 5 <br />Subtotal of permit fees 1986 <br />Subtotal of permit fees 1987 <br />*A - Active <br />TC - Temporary Closure <br />P(' - I)ermarient Closirro <br />NBGEORG75 <br />GEORGIA -PACIFIC CORPORATION <br />75 W. VALPICO RD. <br />TRACY, CA. 95376 <br />Underground Tank Facility. <br />Date Due SEPT. 25, 1987 <br />$100.00 <br />*Status PAYMENT <br />A 50 RECEIVED <br />A 50 <br />A 50 <br />A 50 SEP � 1 1987 <br />A 50 ENVIRONMENTAL HEALTH <br />PERMITJSE RV IES <br />$ 280.00 4 �� <br />$ 350.00 <br />$ 350.00 <br />TOTAL FEES DUE: <br />980.00 <br />Notify the San Joaquin 1,oc:al 11eal Lh oS :Lny corrections or chanl;c=:y <br />rwces;;;t r'y . <br />Return pavrnerit, :Llong wi t -h orw i'_opy of tE1i!, �;Lateirwnt. to: <br />.1<An .Joaquin Local health Di:;trict <br />i:nvironematal health Perinit/ServiceS <br />1' 0 Box 2009, Stockton, CA 95201 <br />