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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Avenue, P O Box 2009 <br /> Stockton , CA 95201 <br /> (209)466-6781 <br /> Jogi Khanna, M.D. , Health Officer <br /> . HO14ARD E. RICHARDSON RICKS26 <br /> . 8600 N. WEST LANE - SPACE #103 HOWARD E. RICHARDSON <br /> . STOCKTON, CA 95210-2241 2662 N. WILSON WAY <br /> STOCKTON, CA 95205 <br /> Billing statement for 1986 - 1987 permit Underground Tank Facility . <br /> Statement Date : MAY 26. 1987 Date Due 111NF 30, 1927 <br /> 1986 1987 <br /> Facility $100.00 Facility $100.00 <br /> Tank # *Status Tank # *Status <br /> I _g_ 5 50,Q0 —L_ A $__50.._00 <br /> 2 A_ 50.00 2 A 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 <br /> TOTAL FEES DUE: $ 512.00 <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 Ilealth District <br /> Environemntal Health Permit/Services <br /> P 0 Box 2009 , Stockton , CA 95201 <br />