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ti- <br /> SAY JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. . P. 0. Boz 2009 <br /> Stockton. CA 95201 <br /> (209) 466-6781 <br /> Jogi Khanna. M.O. . Health Officer <br /> EXXON31 <br /> A EXXON SERVICE STATION <br /> EXXON COMPANY, US <br /> EXXON <br /> S.D. Y, USAN 3128 W. BENJAMIN HOLT <br /> ATTN16945 NORTH CHASE BLVD. STOCKTON, CA <br /> HOUSTON, TX 77210 <br /> Billing statement for 1987 Permit Underground Tank facility. <br /> Statement Date: JUNE 24 1987 <br /> Due: JULY 15, 1987 <br /> Facility $ 100.00 <br /> Container N Status <br /> _1 A S 50.00 <br /> 2 A S50-00 <br /> 3 A S 50_00 <br /> 3 A S 50.00 <br /> State surcharges @ S56 per tank x _ = S <br /> Subtotal of permit fees: S 300.00 <br /> Additional Billings or Credits <br /> S_ <br /> -TOTAL FEES DUE: 53017.00 <br /> Penalties will be added Notify the San Joaquin Local llealth 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 oistricl <br /> _ (nvironmental Health Perini L/ServiCeS <br /> P. 0. Box 2009. Stockton . CA 95201 <br /> A - Active <br /> TC - Temiorary Closure <br /> NOW <br />