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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E . Hazelton Avenue , P 0 Box 2009 <br /> Stockton , CA 95201 <br /> (209)466-6781 <br /> Jogi Khanna, M.D . , Health Officer <br /> CITY OF TRACY BOYDS56 <br /> ' 560 S. TRACY BLVD. CITY OF TRACY - BOYD SERVICE CENTER <br /> TRACY, CA 95376 560 S. TRACY BLVD <br /> TRACY, CA 95376 <br /> Billing statement for 1986 & 1987 Underground Tank Facility . <br /> Statement Date * MAY 20 1987 Date Due JUNE 30, 1987 <br /> 1986 198? <br /> Facility $100 Facility $100 <br /> Tank # *Status Tank # *Status <br /> _— — PAYMENT <br /> --� RECEIVED <br /> —_ _--_ ---- JUIN 191981 b/�-Iq <br /> State surcharges $56 per tank x 3 = $ 168.00 ENVIRONMENTAL HEALTH <br /> Subtotal of permit fees 1986 $ 250.00 PERMIT/SERVICES <br /> Subtotal of permit fees 1987 $ 250.00 <br /> TOTAL F1:E:S DUE;: $ 668.00 <br /> * A - Active <br /> TC - 'Tempo'ar r y C 1 osu rc <br /> !)C - 1)ermainent. Closure <br /> Notify file san Joaquin Focal health Di :; trict of' any correction:; or changes <br /> rnc�cess;.►ry - <br /> kleturn payment arlorig with one copy of this Statement_ to : <br /> San Joaquin Local Health District <br /> Environmental Health Permit/Services <br /> P 0 Box 2009 , Stockton , CA 95201 <br />