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%00� *Ve <br /> 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, N.D. , Health Officer <br /> CRAIG C. JOHNSON MISSIIO <br /> P.O. BOX 1421 MISSION GROCERY <br /> PLEASANTON, CA 94566 10217 N. HWY 99 <br /> STOCKTON, CA 95212 <br /> Billing statement for 1986 - 1987 , Underground Tank Facility . <br /> Statement Date: May 11, 1987 Date Due May 30, 1987 <br /> 1986 1987 <br /> Facility $100.00 Facility $100.00 <br /> Tank # 'Status Tank # *Status <br /> —1. --A- $DILDO _1— $ 50-00 <br /> ? —A. 5n_n0 2 A 50.00 <br /> State surcharges @ $56 per tank x 2 $ 112.00 <br /> Subtotal of permit fees 1986 $ 200.00 <br /> Subtotal of permit fees 1987 $ 200.00 <br /> TOTAL FEES DUE: $ 512.00 <br /> •A - Active <br /> TC - Tempot•ary Closure <br /> PC - Permanent clo:;ure <br /> Notify the San .loayutn Local health District of any corrections or changes <br /> nece:;!;a r . <br /> HeLurn payment alone; with one copy Of this statement to: <br /> San Joaquin Local Health District <br /> Eavironemntal Health Permit/Services <br /> P 0 Box 2009 , Stockton , CA 95201 <br />