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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 />BEACON OIL CO. <br />525 W. THIRD ST. <br />HANFORD, CA 93230 <br />* BEAC030 <br />* BEACON OIL CO. <br />* 3003 NAVY DRIVE: <br />* STOCKTON, CA 95206 <br />Billing statement for 1987 Permit , Underground Tank Facility. <br />Statement Date: SEPTEMBER 3, 1987 <br />Due: OCTOBER 3, 1987 <br />Facility $-100.00 <br />Container # Status <br />1— A g 50.0 <br />'et4'r <br />Vt <br />ptj H <br />State surcharges @156 per tank x 'OtA <br />Subtotal of permit fees: $ 150.00 <br />Additional Billings or Credits <br />Penalties will be added <br />past'due date as shown: <br />30 days - 100% of Base Fee <br />A - Active <br />TC - Temporary Closure <br />PC - Permanent Closure <br />0 <br />TOTAL FEES DUE: $ 150.00 <br />Notify the San Joaquin Local Health District <br />of any corrections or changes necessary. <br />Permit will be mailed upon receipt of payment <br />and approval of facility. <br />Return payment along with one copy of this <br />statement to: <br />San Joaquin Local Health District <br />Environmental Health Permit/Services <br />P. 0. Box 2009, Stockton, CA 95201 <br />RECEIVED SEP I 1 1987 <br />