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• " SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. . P. 0. Box 2009 <br /> Stockton. CA 95201 <br /> (209) 466-6781 <br /> Jogi Khanna, M.O. , Health Officer <br /> USPOS42 <br /> US.POSTAL SERVICE <br /> -U.S. POSTAL SERVICE 4245 WEST LANE <br /> 4245 WEST LANE STOCKTON, CA 95204 <br /> STOCKTON, CA 95204 <br /> Billing statement for 1981 Permit Underground Tank Facility. <br /> Statement Date: MAY 15, 1987 <br /> Due: JUNE 15, 1987 <br /> Facility S 100.00 <br /> Container # "Status <br /> 1 A S 50.00 <br /> 3 A S 50.00 <br /> 3 A S 50.00 <br /> State Surcharges @ SS6 per tank x <br /> Subtotal of permit fees : 290 n0 <br /> Additional Billings or Credits <br /> TOTAL FEES DUE: 5250.00 <br /> Penalties Will be added Notify the San Joaquin Local Ilealth District <br /> past due date as shoran: of any corrections or changes necessary. <br /> Permit will be mailed upon receipt of payment <br /> and approval of facility. - <br /> 30 days - 100: of Base Fee Return payment along with one Copy of this <br /> statement to: <br /> San Joaquin Local Health District <br /> Environmental Health Permit/Services <br /> P. 0. Box 2009. Stockton. CA 95201 <br /> A - Active <br /> TC - Temporary Closure <br />