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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Avenue , P O Box 2009 <br /> Stockton , CA 95201 <br /> (209)966-6781 <br /> Jogi Khanna, M.D. , Health Officer <br /> CAL-IiEST 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 - 19R7 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 /> - I -A- 5_ 4.00 _1_ A_ S-5- 00 <br /> -- _-- <br /> PAYMENT, <br /> AECEIVEa'. <br /> State surcharges CSP $56 per tank x1 $ 56-00 <br /> Subtotal ofJUN 301987 �(cm <br /> permit fees 1986 $150.00 <br /> Subtotal of permit fees 1987 $150.00 ENVIRONMENTALHEA-U <br /> PERM P%ICES <br /> TOTAL FEES DUE: $ <br /> *A - Active <br /> TC - 'Temporary Closure <br /> PC - permanent Closure <br /> Notify the San Joaquin Local Health District of anv 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 0 Box 2009 , Stockton , CA 95201 <br />