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0 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, H.D. , Health Officer <br /> -ANDY' S AUTO PARTS ANDYS22 <br /> • 2230 E. MAIN ST. ANDY'S AUTO PARTS <br /> • STOCKTON, CA 95205 2230 E. MAIN ST. <br /> STOCKTON, CA 95205 <br /> Billing statement for 1986 & 1987 Underground Tank Facility . <br /> Statement Date: MAY 20, 1987 Date Due JUNE 30, 1987 <br /> 1986 1987 <br /> Facility $100 Facility $100 <br /> Tank 11 *Status Tank 11 *Status <br /> 1 A g 50 1 A S 50 <br /> — PAYMENT <br /> — RECEIVED <br /> MAY 2 7 1987 <br /> State surcharges @ $56 per tank x 1 = $ 56.00 ENVIRONMENTAL HEALTH <br /> Subtotal of permit fees 1986 $ 150.00 PERMIT/SERVICES <br /> Subtotal of permit fees 1987 $ 150.00 \ — + '°(&jg7 <br /> TOTAL FEES DUE:- <br /> •A - Active <br /> TC - Temporary Closure .Pa � A -1951b <br /> PC - Permanentre <br /> Closu <br /> 1 <br /> Notify the San .Joaquin Lucal Ilealth District of any corrections or changes <br /> nccON:;ary . <br /> Retut'n payment. along with on(• 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 />