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SAN JOAQU I N LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Avenue , 13 0 Box 2009 <br /> Stockton , CA 95201 <br /> (209)466-6781 <br /> Jogi Khanna, M.D. , Health Officer <br /> - ROBERT KUPKA PARAC23 <br /> • 23927 N. HIGHWAY 99 PARACHUTE CENTER (LODI AIRPORT) <br /> - ACAMPO, CA 95220 23927 N. HIGHWAY 99 <br /> • ACAMPO, CA 95220 <br /> Billing statement for 1986 - 1987 Underground Tank Facility . <br /> Statement Date . JULY 21, 1987 Date Due AUGUST 21, 1987 <br /> 1986 1987 <br /> Facility -Wn_nn Facility $100.00 <br /> Tank # *Status Tank # *Status <br /> 1 _A Sao—Do 1 A_._ g _5O_00 <br /> 50.00 2 A� 5-9-00 <br /> State surcharges @ $56 per tank x 2 = $w 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 /> "ITC - `E'emporar .v C1 WLl r-c' <br /> IAC - E'crr-mancnt Clor,Urc� <br /> Notify OW San ,JO;IgUin I,oc.al Health Ur -; trict crk anv s•crt'roct. iow; ol, c fukri�;c•:; <br /> [icccti:;,t t')' . <br /> Return payment ,dont; wi tli onc• copy of this; :;t.;itc rrrnr t r : <br /> San Joaquin Local Health District <br /> Environmental. Health Permit/Services <br /> P 0 Box 2009 , Stockton , CA 95201 <br />