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.w <br /> SAN JOAQUIN 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 /> • CAL-WEST CONCRETE CUTTING, INC. <br /> • 1153 VANDERBILT CIRCLE CAL-WEST CONCRETE CUTTING, INC. <br /> • MANTECA, CA 95336 1153 VANDERBILT CIRCLE <br /> MANTECA, CA 95336 <br /> Billing statement for 1986 - 1987 Underground Tank Facility. <br /> Statement Date: JUNE 2, 1987 Date Due JUNE 30, 1987 <br /> 1986 1987 <br /> Facility $100.00 Facility $100.00 <br /> Tank # *Status Tank # *Status <br /> —�— — A— 3—5Il.oo _L A_ $—52.00 P P�M,V VD <br /> State surcharges @ $56 per tank x_] _= $ 56.00 <br /> Subtotal of permit fees 1986 $150.00 <br /> Subtotal of permit fees 1987 $150.00 <br /> TOTAL FEES DUE: $ 356.00 <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 /> P O Box 2009, Stockton, CA 95201 <br /> 1%00 �( <br />