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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 /> SKS ENTERPRISE • MKTFAI8 <br /> / ggsz 18666 MELLO AVENUE • SKS ENTERPRISE <br /> RIPON, CA 95366 • 18666 MELLO AVENUE <br /> . RIPON, CA 95366 <br /> Billing statement for 1987 Permit Underground Tank Facility. <br /> Statement Date: JUNE 24, 1987 7- <br /> 4-1 <br /> Due: JULY 15, 1987 <br /> r . <br /> Facility $ 100 <br /> Container # Statusk 4, <br /> 1 A $ 50.00 <br /> Subtotal of permit fees: $ 150.00 <br /> Additional Billings or Credits <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 /> A - Active P. 0. Box 2009, Stockton, CA 95201 <br /> TC - Temporary Closure <br /> PC - Permanent Clo,turo� <br />