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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 /> NELS001 <br /> NELSON READY MIX CONCRETE NELSON READY MIX CONCRETE <br /> P.O. BOX 577 JACK TONE ROAD & HWY 99 <br /> RIPON, CA 95366 RIPON, CA 95366 <br /> Billing statement for 1987 Permit Underground Tank Facility. <br /> Statement Date: MAY 1, 1987 <br /> Due: JUNE 1, 1987 <br /> Facility S 100.00 <br /> Container p Status <br /> _L A 1-20--0 0 <br /> State surcharges @ S56 per tank x _ _ S <br /> Subtotal of permit fees: S 150.00 <br /> Additional Billings or Credits <br /> —ODFRPAYMENT FOR L986 <br /> S 90.00 <br /> TOTAL FEES DUE: 240.00 <br /> Penalties will be added Notify the San Joaquin Local Health 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 /> JO days - 100% of (lase Fee 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 /> A - Active <br /> TC - Temporary Closure <br /> P( - Per uia nr nt flosurr. <br />