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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 /> JACKP40 <br /> ' TIME OIL CO. JACKPOT <br /> <br /> LODI , CA 95240 <br /> Billing statement for 1987 Permit Underground Tank Facility. <br /> Statement Date: MAY 1, 1987 <br /> Due: JUNE 1, 1987 <br /> Facility S 100.00 <br /> Container N Status <br /> A 550 <br /> —� -4 550 <br /> 50 <br /> _ $ PAYMENT <br /> �— RECEIVED $/1 <br /> State surcharges @ $56 per tank x _ = �_ MAY 19 1987 ' nn <br /> Subtotal of permit fees: S250 ENVIRONMENTAL HEALTH <br /> Additional Billings or Credits PERMITJSERVICES <br /> TOTAL FEES DUE : S 250 . 00 <br /> Penalties will be added Notify the San Joaquin Local health District <br /> past 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 />