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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Avenue, P 0 Box 2009 <br /> Stockton , CA 95201 <br /> (209)466-6781 <br /> Jogi Khanna, M.D. , Health Officer <br /> .C. KELLEY TRUCKING, INC. . KELLE49 <br /> .4959 EAST 14ATERLOO ROAD C. KELLEY TRUCKING, INC. <br /> STOCKTON, CA 95205 4969 EAST WATERLOO ROAD <br /> STOCKTON, CA 95205 <br /> Billing statement for 1986 - 1987 Underground Tank Facility . <br /> Statement Date: MAY 11 , 1987 Date Due MAY 30, 1987 <br /> 1986 1987 <br /> Facility $100.00 Facility $100.00 <br /> Tank # *Status Tank # *Status <br /> 1 A S 50.00 1 A g 50.00 <br /> 50.00 �- �� 50.00 <br /> PAYMENT <br /> RECEIVED <br /> T JUN 2 1987 <br /> State surcharges @ $56 per tank x 2 = $ 112.00 ,ENVIRONMENTAL HEALTH <br /> Subtotal of permit fees 1986 $ 200.00 PERMIT/SERVICES <br /> Subtotal of permit fees 1987 $ 200.00 <br /> - TOTAL FEES DUE: $ 512.00 <br /> *A - Active <br /> TC - `1'empor-.L ry rj oU jtl ['cr <br /> PC - Permanent Closuro <br /> Notify tlLc° ,j;Lrf Jcs.L(juan 1,0c.11 lh -�al thL 1) i .-,trict. Gal ;Lily corrections or ch angt-'- <br /> n :,:L t'y . <br /> Return l)ayonent. ;Llunt; witll cine copy of thiti t;t.►t('mL�nt to : <br /> S.kn .Joaquin Local Health 1)istrict <br /> Environemntal Health Permit/Services <br /> P 0 Box 2009 , Stockton , CA 95201 <br />