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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Ilazelton Ave. , P. 0. BOX 2009 <br /> Stockton, Ca 95201 <br /> (2179) 466-6781 <br /> Jogi Khanna, M.D. , Health Officer <br /> AMERICAN FOREST PRODUCTS CO. <br /> P. 0. BOX 8368 <br /> STOCKTON, CA 95208 AMERI01 <br /> 'AMERICAN FOREST PRODUCTS <br /> ' 1800 MARSHALL <br /> * STOCKTON, CA 95205 <br /> Billing Statement for -- -1987----- --, Underground Tank Facility. <br /> Statement Date: OCTOBER 21, 1987 Due OCTOBER 31, 1987 <br /> Facility <br /> 100.00__ <br /> Container M *Status Container p *Status <br /> I PC S 90 7 PC S90 <br /> _ 7{— -w- --S-- - <br /> PAYMENT <br /> 3 q -5U- - _PC_ 90 _ RECEIVED <br /> -5 � <br /> PC - - - NOV G 1581 <br /> -- -EXEMPT — <br /> ENVIRONMENTAL HEALTF7 <br /> State surcharges @ $56per tank b_ <br /> PERMITISERVICES <br /> x <br /> Subtotal of Permit fees : $ 6_10.00 <br /> Additional Billings or credits Fees-due 1986 -DEBIT S_48.00 <br /> Fees Paid 1987-CREDIT _S 286.00 <br /> TOTAL FEES DUE: $372.00 <br /> 'Penalties will he added Holl/y the San Joaquin local <br /> Past due date as shown; 9 Health necessary. ct <br /> o/ any Corrections Or changer nec etsa ry. <br /> Permit will he nailed upon receipt o/ payment <br /> y - IOOS o/ Batt let <br /> 30 day% and approval of facility. <br /> Return payment along with one copy of this <br /> statement to: <br /> San Joaquin local Health 01slrict <br /> (nvlronnental Health Permit/Services <br /> A active P 0. Bo. 1009, Stockton, (A 95701 <br /> lC lemporary Cloture <br /> PC - Perw,anent Cloture <br /> Or <br />