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0 <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 />.CITY OF MANTLCA MANTE21 <br />•C/O UAV1D MUELLER CITY OF MANTECA <br />• UIRECTUR OF PUBLIC WORKS 210 E. WETMORE <br />l001 WFST CENTER �TRLET MANTECA, CA 95336 <br />. <br />MANTECA, CA 95336 <br />Billing statement for 1986 - 1987 Underground Tank Facility. <br />Statement Date: JIJU 3. 1987 Date Due JUNE 30, _1987 <br />1986 <br />Facility $100.00 <br />Tank # *Status <br />1 A $ 50.00 <br />2 —7 �50 :. 00 <br />—7 __7F _5 UO <br />1987 <br />Facility <br />100.00 <br />Tank #I <br />*Status <br />1 <br />A $ 50.00 <br />-5i3� 00 <br />State surcharges @ $56 per tank x 3 = $ 168.00 <br />Subtotal of permit fees 1986 $ 250.00 <br />Subtotal of permit fees 1987 $ 250.00 <br />TOTAL FEES DUE: $ 668.00 <br />*A - Active <br />TC - Temporary Closure <br />PC - permanent Closure <br />Notify the San Joaquin Local Ilealth District of any corrections or changes <br />necessary_ <br />Return payment along with one copy of this SLatoment to: <br />San Joaquin Local EIc*alth District <br />Enviaronemntal Health Permit/Services <br />P 0 13ox 2009, Stockton, CA 95201 <br />/JUL u41987 <br />SAN JOAQUIN COUNTY <br />. AIR POLLUTION CONTROL DISTRICT <br />