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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 />Eldon Kuntz <br /> <br /> <br />-CHART93 <br />CHARTER WAY AUTO RECYCLERS <br />.930 E. Charter Way <br />•Stockton, CA 95206 <br />Billing statement for 1987 Permit , Underground Tank Facility. <br />Statement Date <br />Due: <br />Facility <br />Container R <br />1 <br />March 15, 1987 <br />April 15, 1987 <br />`StaAtus <br />State surcharges @ $56 per tank x`= <br />Subtotal of permit fees: <br />Additional Billings or Credits <br />Penalties will be added <br />past due date as shown: <br />30 days - 100% of Base Fee <br />A - Active <br />TC - Temporary Closure <br />PC - Permanent Closure <br />$ 100.00 <br />50.00 <br />TOTAL FEES DUE: <br />PAYMENT <br />RECEIVED <br />$150.00 APR 16 1991 <br />ENVIRONMENTAL HEALTH <br />PERMIT/SERVICES <br />$ <br />$ 150.00 <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 />