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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Iiazelton Avenue, P 0 Box 2009 <br /> Stockton , CA 95201 <br /> (209)466-6781 <br /> Jogi Khanna, N.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 # *Status Tank # *Status <br /> 1 A g 50 1 A S 50 <br /> State surcharges @ $56 per tank x_ 1 = $ 56.00 <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 Clo>;ure <br /> PC - PermarnenL Closur(• <br /> Nobly Lhc San .lo:uluin Lo :ul Ilcalth Dl 'tiLriCL of any corrections or chanl;e,; <br /> nCr,er;::ary . <br /> ItcLurn payment along w) rh o[w copy of Lhis :;LatemenL Lo : <br /> San Joaquin Lo<:al health District <br /> Environemntal health Permit/Services <br /> I' O ISox 2009 , Stockton , CA 95201 <br />