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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: 1987 <br /> Facility $ 100.00 <br /> Container N *Status <br /> —L A $ 50.00 <br /> —2 _ A <br /> PAYMENT <br /> RECEIVED <br /> J U 1 1 1987 <br /> State surcharges @ $56 per tank x _ _ <br /> ENVIRONMENTAL HEALTH <br /> Subtotal of permit fees: $ 200.00 PERI IT/SERV)CES <br /> Additional Billings or Credits <br /> $ <br /> TOTAL FEES DUE: <br /> $ 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 - 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 /> A - Active <br /> P. 0. Box 2009, Stockton, CA 95201 <br /> TC - Temporary Closure <br /> PC - Permanent Closure <br />