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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Avenue, P 0 Box 2009 <br /> Stockton , CA 95201 <br /> (209)466-6781 <br /> Jogi Khanna, M.D. , Health Officer <br /> NICHOLAS V. CULLINCINI JJMEAIO <br /> . 973 ARDEN WAY J & J MEAT CO. <br /> SACRAMENTO, CA 95815 10141 N. HWY. 99 <br /> STOCKTON, CA 95212 <br /> Billing statement for 1986_ & 1987 Underground Tank Facility . <br /> Statement Date: V 20, 1987 <br /> Date Due JUNE 20, 19$7 <br /> 1986 1987 <br /> Facility $100 Facility $100 <br /> Tank # *Status Tank # *Status <br /> 1 A S 50 1 A 50 <br /> State surcharges 0 $56 per tank x 1 = $ 56.00 <br /> Subtotal of permit fees 1986 $ 150.00 <br /> Subtotal of permit fees 1987 $ 150.00 <br /> TOTAI. FEES DUH;: $ 356.00 <br /> *A - Active <br /> TC - Temporary Cl c)ti11 rc <br /> PC -- Permanent Closure <br /> Notify the San .Joaquin Local Health District of any corrections or changoN <br /> nec.wNnnry . <br /> 1;etcarn ��ayn�c n t :tic)n� � i �.fy or" c()py of t hiN :,tatonwn L t.cr: <br /> Nan Joaquin Local Health District <br /> Environemntal Health Permit/services <br /> P 0 Box 2009 , Stockton . CA 95201 <br />