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r <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 /> GOLF LAND GOLF LAND <br /> 7850 N. WEST LANE 7850 N. WEST LANE <br /> STOCKTON, CA 95210 STOCKTON, CA 95210 <br /> Billing statement for 1986 - 1987 Underground Tank Facility . <br /> Statement Date: JUNE 2, 1987 Date Due ItINF 30. 1987 <br /> 1986 1987 <br /> Facility $100.00 Facility $100.00 <br /> Tank # *Status Tank N *Status <br /> 1 A $ 50.00 1 A $ 50.00 <br /> — PAYMENT <br /> RECEIVED <br /> JUN 2 5 1987-7rce <br /> ENVIRONMENTAL HEALTH <br /> State surcharges @ $56 per tank x 1 = $ <br /> 56.00 PERMITISERVICES <br /> Subtotal of permit fees 1986 $ 150.00 <br /> Subtotal of permit fees 1987 $ 150.00 <br /> TOTAL FEES DUE: $ 356.00 <br /> *A - Active <br /> TC - Temporary Closure <br /> PC - Permanent Closure <br /> Notify the San Joaquin Local Health District of any 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 />