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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Avenue, P 0 Box 2009 <br /> Stockton , CA 95201 <br /> (209)966-6781 <br /> Jogi Khanna, N.D. , Health Officer <br /> SEARS TRUCKING, INC. SEARS29 <br /> 2929 S. HWY 99 SEARS TRUCKING, INC. <br /> . STOCKTON, CA 95205 2929 S. HWY 99 <br /> STOCKTON, CA 95209 <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 S 50.00 1 A $50.00 <br /> 2 A -6700 '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 FEE'S DUE: $ 512.00 <br /> *A - Active <br /> TC - Temporary Closure <br /> PC - Permanent Closure <br /> Notify the San Joaquin Local ilealth Districtof cin), corrections or changes <br /> neces:;a ry . <br /> Return payment along with one copy of this stateiiwnt to: <br /> San .Joaquin Local Health District <br /> Environemntal Health Permit/Services <br /> P 0 Box 2009 , Stockton , CA 95201 <br />