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SAN JOAQUIN LOCAL.NEALTH DISTRICT ,• r' <br /> 1601 E. Hazelton Ave. , P. 0. Box 2009 <br /> Stockton, CA 95201 <br /> (209) 466-6781 . ; . <br /> Jogi Khanna, N,D. . Health Officer <br /> RBTRU23 <br /> R•& B TRUCKING R & B TRUCKING <br /> 23045 S. CORRAL HOLLOW ROAD 23045 S. CORRAL HOLLOW ROAD <br /> TRACY, CA 95376 TRACY, CA 95376 <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 /> 1 <br /> --T- $__5II_OD <br /> 3 g —so 0 PAYMENT <br /> 4 $ r ! RECEIVED <br /> 50_OD <br /> -7 JUN 15S7 �O/a <br /> L 50.0 <br /> State surcharges @ $56 per tank x S <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES <br /> Subtotal of permit fees: S 450.00 <br /> Additional Billings or Credits <br /> TOTAL FEES DUE: $ 450.00 <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 <br /> 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 />