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SAN JOAQUIN LOCAL HEALTH DISTRICT �7 <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 /> CHEVR08 <br /> <br /> <br /> STOCKTON , CA 95207 <br /> Billing statement for 1987 Permit Underground Tank Facility. <br /> Statement Date: May 8 1987 <br /> Due: June 8 1987 <br /> Facility $ 100 <br /> Container # Status <br /> 1 A $50 <br /> 5�0-- <br /> "wl i s <br /> 2 A $50 - <br /> 3 A 5 .- <br /> 4 A550 <br /> $_-_-_ ENVIROMENTAL HLIALTH <br /> $ F ERMIT/SERVICES <br /> Subtotal of permit fees: 5 300 <br /> Additional Billings or Credits ` <br /> - - - - - <br /> TOTAL FEES DUE: , 300 . 00 <br /> Penalties will he added Notify the San Joaquin Local liealth District <br /> after due date as shown: of any corrections or changes necessary. <br /> Permit will be mailed upon receipt of payment <br /> and approval of facility. <br /> 30 days - 100% of Base Fee Return payment along with one copy of this <br /> statement to: <br /> San Joaquin Local Health District <br /> Environmental Health Permit/Services <br /> P. 0. Box 2009, Stockton , CA 95201 <br /> A - Active <br /> TC - Temporary Closure <br /> l'l. - I'erman�nt Clo'uro <br />