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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 /> 83 <br /> PACIFIC COAST PRODUCERS PACIF <br /> . PACIFICC COAST PRODUCERS <br /> P. 0. BOX 159 835 S. STOCKTON <br /> LODI , CA 95241 LODI , CA 95240 <br /> Billing statement for 1987 Permit Underground Tank Facility. <br /> Statement Date: SEPTEMBER 3, 1981 <br /> Due: OCTOBER 3, 1987. <br /> Facility $ 100.00 <br /> Container # *Status <br /> A Vis._-5000 <br /> —_ -T 50.00 PAYMENT <br /> RECEIVED <br /> ? 1987 <br /> $ ENWC)NMENTAL HEX[TH <br /> State surcharges @ $56 NtRMITISERVICES <br /> g per tank x 2 � $ 112.00 <br /> Subtotal of permit fees: $ 312.00 <br /> Additional Billings or Credits <br /> 5 <br /> TOTAL FEES DUE: $ 312.00 <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 />