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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 /> RIPON32 <br /> RIPON MILLING COMPANY RIPON MILLING COMPANY <br /> P.O. BOX 698 320 SOUTH STOCKTON <br /> RIPON, CA 95366 RIPON, CA 95366 <br /> Billing statement for 1987 Permit_, Underground Tank Facility. <br /> Statement Date: -MAY 1. 1987 <br /> Due: JUNE 1, 1987 <br /> Facility $ 100.00 <br /> Container N *Status <br /> — A $ 50.00 <br /> 2 A 50.00 <br /> State surcharges @ $56 per tank x <br /> Subtotal of permit fees: 200.00 <br /> Additional Billings or Credits <br /> 5 <br /> TOTAL FEES DUE: S 200.00 <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 /> and approval of facility, <br /> 30 days - 100X 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 /> A - Active <br /> P. 0. Box 2009, Stockton, CA 95201 <br /> TC - Temporary Closure <br /> PC - Permanent Closure <br />