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• SAN JOAQUIN LOCAL HEALTH DISTRICT PAYMENT <br /> 1601 E. Hazelton Avenue, P O Box 2009 RECEIVED <br /> Stockton , CA 95201 <br /> (209)466-6781 AUG 211987 <br /> Jogi Khanna, M.D. , Health Officer <br /> ENVIRONMENTAL HEALTH <br /> PERMITISERVICES <br /> B. & A. McKinnon • DELTAI6 <br /> P. 0. BOX 9352 DELTA PALLET SERVICE <br /> STOCKTON, CA 95208 1624 NAVY DRIVE <br /> STOCKTON, CA 95206 <br /> Billing statement for 1986 - 1987 Underground Tank Facility . <br /> Statement Date: JULY 21 1987 Date Due AUGUST 21, 1987 <br /> Fa1986 cility $100.00 Facility 197 $100.00 <br /> Tank # *Status Tank # *Status <br /> State surcharges @ $56 per tank x 1 = $ 56.00 <br /> Subtotal of permit fees 1986 $150.00 <br /> Subtotal of permit fees 1987 $150.00 <br /> 356.00 <br /> TOTAL FEES DUE: $ <br /> *A - Active <br /> TC - 'remporary Closure <br /> PC - Permanent Closure <br /> Notify the San Joaquin Local Health District of any corrections or changes <br /> necessary . <br /> Return payment along with one copy of this statement to: <br /> San Joaquin Local Health District <br /> Environmental Health Permit/Services <br /> P 0 Box 2009, Stockton, CA 95201 <br />