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r • <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P. 0. Box 2009 <br /> Stockton, CA 95201 <br /> (209) 466-6781 <br /> Jogi Khanna, M.D. , Health Officer <br /> GILLI39 <br /> GILLIES TRUCKING GILLIES TRUCKING <br /> P.O. BOX 8303 3931 NEWTON ROAD <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 <br /> Billing statement for 1987 Permit Underground Tank Facility. <br /> Statement Date: MAY 1 1987 <br /> Due: -j UNE 1 . 1987 <br /> Facility 5 100.00 <br /> Container K *Status <br /> A 50.00 <br /> 50.00 <br /> State surcharges @ $56 per tank x <br /> Subtotal of permit fees: <br /> 5 2Il0 n0 f <br /> Additional Billings or Credits <br /> Credit from 1986 overpayment <br /> V <br /> $ 1.06.00 <br /> TOTAL FEES DUE: $ 94.00 <br /> Penalties will be added Notify the San Joaquin Local Health District <br /> past due date as shown: of any corrections or changes necessary. <br /> Permit will be mailed upon receipt of payment <br /> 30 days - 100% of Base Fee and approval of facility. <br /> Return payment along with one copy of this <br /> statement to: <br /> San Joaquin Local Health District <br /> Environmental Health Perinit/Services <br /> A - Active P. 0. Box 2009, Stockton , CA 95201 <br /> TC - Temporary Closure <br /> PC - Permanent Closure <br />