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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1641 E . Hazelton Avenue , P 0 Box 2009 <br /> Stockton , CA 95201 <br /> ( 209)466-6781 <br /> Jogi Khonna, M.D . , health Officer <br /> DONNA GARDNER NBGARDN26 <br /> 1206 STRUCK DONNA GARDNER <br /> ORANGE, CA 92667 26056 N. THORNTON ROAD <br /> THORNTON, CA 95686 <br /> Billing statement for 1986 - 1987 , Underground Tank Facility . <br /> Statement Date: AUGUST 25, 1987 Date Due SEPTEMBER 25, 1987 <br /> 1986 1987 <br /> Facility $100.00 Facility _$100.00 <br /> Tank # *Status 'Tank *Status <br /> -5D--00 <br /> - ----- --- --- PAYMENT <br /> -- --- -- -- <br /> RECEIVED <br /> -- - ---- - SCP 8 1987 <br /> State surcharges @ $56 per tank x 2 $-11 .00 .ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES <br /> Subtotal of permit fees 1986 $ 2QO. 0 <br /> Subtotal of permit fees 1987 $-200.00 <br /> TOTAL Fi.ES DUE: $ 512.00 <br /> *A - Active <br /> TC - Tempor;r ry Closure <br /> PC - Pormanent Closure <br /> Notify the San .Joaquin Local H(-,clth 1) rtitr- IcL of ;cny corrections or chango.-: <br /> nuc(!s.,;;c r . <br /> Return payncccrt. along; cc i til m1f. col) ' 01 Lhi :; :;t:ct+ me rpt tc9 : <br /> :,.in Joaquin Loc-al Health IDi :;trict <br /> l;nvironcmntal Health Permit/Services <br /> 1) 0 [Sox 2009 ,, Stackton , CA 95201 <br />