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..raw- <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P. 0. Box 2009 - <br /> Stockton , CA 9S201 <br /> (209) 466-6781 <br /> Jogi Khanna, M.D. . Health Officer <br /> NELSOO1 <br /> NELSON READY MIX CONCRETE NELSON READY MIX CONCRETE <br /> P.O. BOX 577 _ JACK TONE ROAD & Y 99 <br /> pIPON, CA 95366 RIPON, CA <br /> 366 <br /> Billing statement for 1987 Permit Underground Tank Facility. <br /> Statement Date: MAY 1 1987 <br /> Due: JUNE 1 1987 <br /> Facility S 100.00 <br /> Container N 'Status <br /> Ac�50�00 PAYMENT <br /> RECEIVED <br /> V AY 2 ( 1 rz')S 7 <br /> ENVIRONMENTAL HEALTH <br /> PERMIT(SERVICES <br /> State surcharges @ $56 per tank x <br /> Subtotal of permit fees: S 150.00 <br /> Additional Billings or Credits <br /> __UNT]FRpAY14FNT Fog 1986 S. .9.0..00 - <br /> S 240.00 <br /> TOTAL FETES DUE: ---� <br /> Penalties will be added- NoLify ttze San Joaquin Local Health District <br /> past due date as shown: of any corrections or chances necessary. <br /> Permit will be mailed upon receipt of payment <br /> and approval of facility. <br /> 30 days - 100% of Mase Fee - Return payment along with one col)y of this _77-�_ <br /> s to temen t to.' I <br /> 1 <br /> San Joaquin Local lira 1 Lh District 1 <br /> EnvironnMnLal liealth llereuiL/Services <br /> r'. 0_ Bo- 2009. Stockton, CA 95201 <br />