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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P. 0. Box 2009 <br /> Stockton, CA 95201 <br /> (209) 466-6781 <br /> Jogi Khanna, M.D. , Health Officer <br /> ' TIKIL12 <br /> . IIORST HANF • TIKI LAGUN RESORT & MARINA <br /> 12988 W MC DONALD RD. • 12088 W MC DONALD RD. <br /> STOCKTON, CA 95206 STOCKTON , CA 95206 <br /> Billing statement for 1987 Perm.»t Underground Tank Facility. <br /> Statement Date: A4arch 15 1987 <br /> Due: April 15, 19$7 <br /> Facility $ 100 <br /> Container # *Status <br /> 1 A <br /> PAYMENT <br /> RECEIVE-D <br /> State surcharges @ $56 per tank x _ _ t�� <br /> MAY i� <br /> Subtotal of permit fees: $ 150 <br /> ENViRONMENTA�. HEALTH <br /> Additional Billings or Credits PEWITISERVICES <br /> $ <br /> TOTAL FEES DUE: $ 150.00 <br /> Penalties will be added Notify the San Joaquin Local Health District <br /> after due date as shown: of any corrections or changes necessary. <br /> Permit will be mailed upon receipt of payment <br /> and approval of facility. <br /> 30 days - 100% of Base Fee Return payment along with one copy of this <br /> statement to: <br /> San Joaquin Local Health District <br /> Environmental Health Permit/Services <br /> P. 0. Box 2009, Stockton, CA 95201 <br /> A - Active <br /> TC - Temporary Closure <br /> PC - Permanent Closure <br />