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_ &AI&OAQUIN LOCAL HEALTH OISTRIL� <br /> 1601 E. Hazelton Ave. . P. 0. Box 2009 v <br /> Stockton. CA 95201 <br /> (209) 466-6781 <br /> Jogi Khanna, M.O. , Health Officer <br /> WALNU10 <br /> WALNUT GROVE TRANSPORTS WALNUT GROVE TRANSPORTS <br /> 'ATTN: J.T. MANUS 10501 W. WALNUT GROVE ROAD <br /> P. 0. BOX. 726 THORNTON, CA <br /> WQLNUT GROVE, CA 95690 <br /> Billing statement for 1987 Permit Underground Tank Facility. <br /> Statement Date: JUNE 24, 1987 <br /> Due: JULY 15 , 1987 <br /> Facility S 100.00 <br /> Container N Status <br /> 1 A X50_00 <br /> 2 A X50_00 <br /> State surcharges @ SSG per tank x <br /> Subtotal of permit fees: S 2DD_110 <br /> Additional Billings or Credits <br /> i <br /> 1986 additional for underpayment $ 40.00 <br /> -TOTAL FEES DUE: S 240.00 <br /> Penalties will be added notify the San Joaquin Local Health District <br /> past due date as shoi.n : of any corrections or changes necessary . <br /> Permit will be mailed upon receipt of payment <br /> and approval of facility. <br /> 30 days - 1001 of (laze Fee Return payncnt along with one cony of this <br /> statement to: <br /> San Joaquin Local health District <br /> Environmental Health Perinit/Services <br /> P. 0. Box 2009. Stockton. CA 95201 <br /> A - Active <br /> TC - Temporary Closure <br /> 1'f - Pe' 'n'1nivil Clntiuri' <br /> .4.............-. -.- �. gyp.}•:k .. ^ 5., +. <br />