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0 <br />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 />-SAN JOAQUIN COUNTY -SANJ099 <br />-SAN JOAQUIN COUNTY -JAIL COMPLEX <br />222 E. WEBER AVENUE •999 W. MATHEWS RD. <br />STOCKTON, CA 95202 -FRENCH CAMP, CA 95236 <br />Billing statement for 1987 PERMIT Underground Tank Facility. <br />Statement Date: APRIL 15, 1987 <br />Due: MAY 15, 1987 <br />Facility lmo_ <br />Container # Status <br />1— p50, <br />3— <br />State surcharges @'$56 per tank x <br />Subtotal of permit fees: $ 250.00 <br />Additional Billings orCredits <br />TOTAL FEES DUE: $-250.00 <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 Closure <br />k. <br />0 <br />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 />-SAN JOAQUIN COUNTY -SANJ099 <br />-SAN JOAQUIN COUNTY -JAIL COMPLEX <br />222 E. WEBER AVENUE •999 W. MATHEWS RD. <br />STOCKTON, CA 95202 -FRENCH CAMP, CA 95236 <br />Billing statement for 1987 PERMIT Underground Tank Facility. <br />Statement Date: APRIL 15, 1987 <br />Due: MAY 15, 1987 <br />Facility lmo_ <br />Container # Status <br />1— p50, <br />3— <br />State surcharges @'$56 per tank x <br />Subtotal of permit fees: $ 250.00 <br />Additional Billings orCredits <br />TOTAL FEES DUE: $-250.00 <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 Closure <br />