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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E . 11azelton Avenue , P 0 Box 2008 <br /> Stockton , CA 85201 <br /> (209)466-6781 <br /> Jogi Khauaa, M.D. , Health Officer <br /> • TRACY01 <br /> CITY OF TRACY CITY OF TRACY BALL PARK WELL <br /> 560 S. TRACY BLVD. TRACY BLVD. & GRANTLINE <br /> TRACY, CA 95376 TRACY, CA 95376 <br /> Billing statement for ]qAf; R 1 A7 PFRMTT Underground Tank Facility . <br /> Statement Date : Date Due MAY 30 1987 <br /> 1986 1987 $100 <br /> Facility $100 Facility <br /> Tank # *Status Tank # *Status <br /> 1 _A S 50_ --1 _A $ .- -50- <br /> State <br /> _ 5(7State surcharges @ $56 per tank x 1 = $ 55.00 <br /> Subtotal of permit fees 1986 $ 150'00 <br /> Subtotal of permit fees 1987 $ 150.00 <br /> T(YI'AL F1.ES I)UE: $ 356.00 <br /> * l - flc:ti� c <br /> 'I'(: - T(' mporary Clo:;ure <br /> PC - 11ormallent Clw;Elre <br /> Not. i fy the San J0.1(,luin l,oc,tl Ileal th {li :;iric t of any (-()rrections or c:hang(-; <br /> Return payillent. along 14' 3 th U111.' Copy of this sta0",11wnt t.() : <br /> San Joaquin I.ocaL Health District <br /> Environemntal Health permit/Services <br /> 1' 0 Box 2009 , Stockton , CA 95201 <br /> 0 0 <br />