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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 />• CITY OF MANTECA <br />• C/O DAVID MUELLER MANTE20 <br />DIRECTOR OF PUBLIC WORKS CITY OF MANTECA <br />• 1001 WEST CENTER STREET 205 E. WETMORE AVENUE -VEHICLE MAIN. SHOP <br />MANTECA, CA 95336 MANTECA, CA 95336 <br />Billing statement for <br />, Underground Tank Facility. <br />Statement Date: Date Due JUNE 30 1987 <br />1986 <br />Facility1987 <br />Facility $100.00 <br />Tank # *Status <br />1 Tank # *Status <br />A S 50.00 1 <br />A $ 50.00 <br />State surcharges @ $56 per tank x 1 = <br />Subtotal of permit fees 1986 <br />Subtotal of permit fees 1987 <br />*A - Active <br />TC - Temporary Closure <br />PC - Permanent Closure <br />$ 56.00 <br />$ 150.00 <br />$ 150.00 <br />TOTAL FEES DUE: $356.00 <br />Notify the San Joaquin Local liealth District of any corrections or changes <br />necessary. <br />Heturn payment along with one copy of this SLatOflwnt to: <br />San Joaquin Local Health District <br />Environemntal 1lealth Permit/Services <br />1' O Box 2009, Stockton, CA 95201 <br />JUL 2 4-1887 <br />SAN JOA4UIP9 COUNTY <br />A!R POLLUTION CONTROL D'`>' " 1 <br />