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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P. 0. Box 2009 <br /> Stockton, CA 95201 <br /> (209) 466-6781 <br /> Jogi Khanna, M.D. , 'Health Officer <br /> •GENER2O <br /> GENERAL MILLS INC. -GENERAL MILLS <br /> P. 0. BOX 3002 •2000 l-l. TURNER RD. <br /> LODI , CA 95241 •LODI , CA 95240 <br /> Billing statement for 1987 Permit , Underground Tank Facility. <br /> Statement Date: March 15, 1987 <br /> Due: April 15, 1987 <br /> Facility $ 100,00 <br /> Container # *Status <br /> 1 A s 50.00 <br /> 2 D <br /> 3 $ 5n_nn <br /> 4 —7� 1} <br /> 5 -.A $ 5p.on <br /> 6 —A $ gn.nn <br /> State surcharges @ $56 per tank x <br /> Subtotal of permit fees: $ 400.00 <br /> Additional Billings or Credits <br /> TOTAL FEES DUE: $ 400.00 <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 this <br /> statement to: <br /> San Joaquin Local Health District <br /> * Environmental Health Permit/Services <br /> A - Active <br /> P. 0. Box 2009, Stockton, CA 95201 <br /> TC - Temporary Closure <br /> PC - Permanent Closure <br />