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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Avenue, P O Box 2009 <br /> Stockton , CA 95201 R5CF.1VEV <br /> (209)466-6781 <br /> Jogi Khanna, M.D. , Health Officer JAN 19 1 <br /> kRVIRON T L GT <br /> • CALIFORNIA HIGHWAY PATROL CALIF33 <br /> PERMIT ISE VICES <br /> • P.O. BOX 8466 CALIFORNIA HIGHWAY PATROL #265 <br /> • STOCKTON, CA 95208 3330 N. AD ART RD. <br /> • STOCKTON, CA 95205 <br /> Billing statement for 1986 & 1987 Underground Tank Facility . . <br /> Statement Date: NOVEMBER 3, 1987 Date Due NOVEMBER 30, 1987 <br /> 1987 <br /> Facility $100 Facility $100 <br /> Tank # *Status Tank # *Status <br /> 1 A S 50 1 A $ 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 Closure <br /> PC' - [)ermanent Closure. <br /> Notify the San Joaquin Local health District of any corrections or changes <br /> necessary . <br /> Return payment along with one copy of this statement to: <br /> San Joaquin Local Health District <br /> Environemntal Health Permit/Services <br /> P O Box 2009, Stockton , CA 95201 <br /> PENALTIES WILL BE ADDED PAST <br /> DUE DATE AS SHOWN: I � <br /> 30 DAYS - 100% of Base Fee <br /> 66/1' >- <br /> ANIL <br /> ,t <br />