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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Razelton Avenue, A 0 Box 2009 <br /> Stockton , CA 95201 <br /> (209)966-6781 <br /> JOgi Khanna, M.D. , Health Officer <br /> NICHOLAS V. CULLINCINI <br /> 973 ARDEN WAY ' JJMEAI0 <br /> SACRAMENTO, CA 95815 J & J MEAT CO. <br /> 10141 N. HWY. 99 <br /> STOCKTON, CA 95212 <br /> Billing statement for & $7 <br /> Statement Date: AY 20, 1987 Underground Tank Facility , <br /> Date Due JUNE 20, 1987 <br /> 1986 <br /> Facility $100 1987 $100 <br /> Facility _ <br /> Tank # *Status Tank # *Status ' <br /> 1 A S 50 1 A S 50 <br /> State surcharges Q $56 per tank x_1_= <br /> $ 56.00 <br /> Subtotal of permit fees 1086 <br /> $ 150.00 <br /> Subtotal of permit fees 1987 150.00 <br /> TOTAL FEES Dell~,: $ 356.00 <br /> *A - rlctivc2 <br /> T(. - Temporary ('1crti�rrc� <br /> PC - l'ermanen t C1 O�;u r-(, <br /> Nutily the �crn JU.iyuin l,c�c..rl lle<j1Lh 1)1Lr' lc. t of any c,crr°r��eticrn5 or changes <br /> Return paynit nt :11c3r11; with cin(- Copy of thir; stal.o ent t.+) : <br /> Nan Joaquin Local Health District <br /> Eavi ronemn tal Health Permit/Services <br /> P 0 Box 2009 , Stockton , CA 9520I <br />