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1, <br /> 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 /> A969 EAST WATERLOO 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 /> I ._ A S 50.00 1 A S 50.00 <br /> 2 50.00 <br /> State surcharges @ $56 per tank x 2 = $ 112.00 <br /> Subtotal of permit fees 1986 $ 200.00 <br /> Subtotal of permit fees 1987 $ 200.00 � r� ? <br /> TOTAL FEE'S DUE:. $ 512.00 <br /> *A - Active <br /> T(; - "Tempora -y t_'1 osai re <br /> PC - PormarivIlt ('1o5ure <br /> Notify the San Juayuill Lucal llealth Di .; trtct () t any corrections or changes <br /> nc(',,.,�;ct F . <br /> RCLurrt ltaynt(-!nt :tlung SviL11 orle Copy oS 1hi ,; ;t :tt.ovwnt to : <br /> San Joaquin Local Health District <br /> Enviroeemutal Health Permit/Services <br /> 1) 0 Box 2009 , Stockton , CA 95201 <br />