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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Avenue, P 0 Box 2009 <br /> Stockton , CA 95201 <br /> (209)966-6781 <br /> Jogi Khanna, N.D. , Health Officer <br /> FOREMOST DAIRIES INC. FOREM64 <br /> • 640 N. UNION ST. FOREMOST - STOCKTON BRANCH <br /> STOCKTON, CA 95205 640 N. UNION <br /> STOCKTON, CA 95205 <br /> Willing statement for 1986 & 197 Underground Tank Facility . <br /> Statement Date: MAY 19, 1987 Date Due JUNE 30, 1987 <br /> 1986 1987 <br /> Facility $100.00 Facility $100.00 <br /> Tank N *Status Tank # *Status <br /> ] - _A S 50.00 1 A S 50.00 <br /> State surcharges @ $56 per tank x $ 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 /> Tompor;11'y Closure <br /> I'C - I' n•manenL Closuro <br /> Nolil'y the ;San .louquin I,uCal IleallhUiStriCl 01 any currectio "s or chan{;es <br /> nr•c :::::rry . <br /> RcUrr❑ paymr nL along{ wi Lh on Copy of Lhis staleruent to : <br /> San Joaquin Local IlealLh District <br /> Environemntal Health Permit/Services <br /> P O Ilox 2009 , Stockton , CA 96201 <br /> r� v <br />