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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 /> CAINS23 <br /> CAIN'S ELECTRIC WORKS CAIN'S ELECTRIC WORKS <br /> 230 N. CHURCH STREET 230 N. CHURCH STREET <br /> LODI , CA 95240 LODI , CA 95240 <br /> Billing statement for 1981 Permit Underground Tank Facility. <br /> Statement Date: ,11�I -1987 <br /> Due: JULY 10 1987 <br /> Facility S 100-00 <br /> Container M Status <br /> cin_nn <br /> State surcharges @ S56 per tank x = S <br /> Subtotal of permit fees: S150.00 <br /> Additional Billings or Credits <br /> Balance from 1986 <br /> X16.00 <br /> -TOTAL FEES DUE: S_2fifi on <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 (lase Fee Return payment along with one copy of this <br /> statement to: <br /> San Joaquin Local Bealth District <br /> Environmental Health Perini t/Services <br /> P. 0. Box 2009, Stockton, CA 95201 <br /> A - Active <br /> TC - Temporary Closure <br /> I'( - I`rrn•.,tneni Clnsurt• <br />