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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P. 0. [lox 2009 <br /> Stockton , CA 95201 <br /> (209) 466-6781 <br /> Jogi Khanna, M.O. , Health Officer <br /> NELSON READY MIX CONCRETE NELS001 <br /> P.O. BOX 577 NELSON READY MIX CONCRETE <br /> RIPON, CA 95866 JACK TONE ROAD & HWY 99 <br /> 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 # *Status <br /> I A 5 50000 PAYMENT <br /> 3 ----- RECEIVED <br /> MAY ' r7187 <br /> �— ENVIRONMENTAL HEALTH <br /> PERMIT f SERVICES <br /> State surcharges @ $56 per tank x <br /> Subtotal of permit fees: S 150.00 <br /> Additional Billings or Credits <br /> _LfA9DEJ3PAYl1E1�T_E0�1`986� S 90.00 <br /> TOTAL FEES DUE : S 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 /> 10 days - 100 of Base Fee Return payment along with one copy of this <br /> statement to: <br /> San Joaquin Local He,) ILh District <br /> Environmental Health Permit/Service% <br /> A - Active P. 0. [lox. 2009, Stockton , CA 95201 <br /> T(: - Tenspor-Ar-y Clo,ur-o <br /> P( - Por-m,sn1,111 Clo wo <br />