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0 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.O., Health Officer <br />RIPON MILLING COMPANY <br />P.O. BOX 698 <br />RIPON, CA 95366 <br />RIPON32 <br />RIPON MILLING COMPANY <br />320 SOUTH STOCKTON <br />RIPON, CA 95366 <br />Billing statement for 1987 Permit , Underground Tank Facility. <br />Statement Date: MAY 1, 1987 <br />Due: JUNE 1. 1987 <br />Facility $ 100.00 <br />Container N Status <br />--2 A j 50,0 <br />Z 0 <br />. _. A�-5bT0 <br />State surcharges @ $56 per tank x _ _ �— <br />Subtotal of permit fees: <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 />TOTAL FEES DUE: <br />PAYMENT <br />RECEIVED <br />AN 1987 <br />ENVIRONMENTAL HEALTH <br />S 200.00 PERYIT/SERVICES <br />5 <br />S200.00 <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 />