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------------ <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Avenue, P O Box 2009 <br /> Stockton, CA 95201 <br /> (209)466-6781 <br /> Jogi Khanna, N.D. , Health Officer <br /> 'FRANK RAVISCIONI SEARS29 <br /> ' '2027 GRAND CANAL BLVD. - SUITE 30 <br /> STOCKTON, CA 95207 SEARS TRUCKING, INC. <br /> 2929 S. HWY 99 <br /> STOCKTON, CA 95205 <br /> Billing statement for 1986 - 1987 <br /> 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 k *Status Tank # *Status <br /> I A 5 50.00 1 A 1. 60.00 <br /> -A— -07U0 <br /> State surcharges @ $56 per tank x_ $ 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 - Temporary Closure <br /> PC - Permanent Closure <br /> Notify the San Joaquin Local Health District of any corrections or changes <br /> necessary . <br /> Return payment alone, with one copy of this statement to: <br /> San Joaquin Local Ilealth District <br /> Eavironematal Ilealth Permit/Services <br /> P 0 Box 2009 , Stockton, CA 95201 <br />