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0 0 <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Avenue, P 0 Box 2009 <br /> Stockton , CA 95201 <br /> (209)466-6781 <br /> Jogi Khanna, M.D . , Health Officer <br /> . DELTA PALLET SERVICE <br /> .P.O. BOX 6391 DELTA PALLET SERVICE <br /> .STOCKTON, CA 95206 1624 NAVY DRIVE <br /> Billing statement for 1986 - 1987 Underground Tank Facility . <br /> Statement Date : JUNE 2, 1987 Date Due JUNE 30, 1987 <br /> 1986 1987 <br /> Facility $100.00 Facility $100.00 <br /> Tank # *Status Tank # *Status <br /> _-A S 5O.D0 _ 1 Jl_ E �D_00 <br /> State surcharges @ $56 per tank x I $ 56.00 <br /> Subtotal of permit fees 1986 $150.00 <br /> Subtotal of permit fees 1987 $150.00 <br /> TOTAL FEES DUE: $ 356.00 <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 along with one copy of this statcitwnt to: <br /> San Joaquin Local Health District <br /> Environemntal Health Permit/Services <br /> P 0 Box 2009 , Stockton , CA 95201 <br />