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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 /> J091 Khanna, M.D. . Health Officer <br /> . WATERFRONT YACHT HARBOR WATER33 <br /> 333 TULEBERG LEVEE WATERFRONT YACHT HARBOR <br /> STOCKTON, CA 95203 333 TUELBERG LEVEE <br /> STOCKTON, CA 95203 <br /> Billing statement for 1987 Permit Underground Tank Facility. <br /> Statement Date; JUNE 25 1987 <br /> Due: JULY 15, 1987 <br /> Facility 100 <br /> Container N Status <br /> — L— —A 50.00 <br /> -2- A $50 0 PAYMENT <br /> — - �A 1 50.00 RECEIVED <br /> AUS 7 1987 <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES <br /> Subtotal of permit fees: 250.00 <br /> Additional Billings or Credits <br /> TOTAL FEES DUE: 1 5 250.00 <br /> Penalties will be added Notify the San Joaquin Local Health District <br /> after due date as shown : of any corrections or changes necessary. <br /> Permit will be mailed upon receipt of payment <br /> 30 days - 100% of Base Fee and approval of facility. <br /> Return payment along with one copy of this <br /> statement to: <br /> San Joaquin Local Health District <br /> Environmental Health Perrni t/Srsrvices <br /> A Active P. 0. Box 2009, Stockton , CT• l5?()1 <br /> TC - Temporary Clo,,ure- <br /> ( Per-en,iriont L10"m", <br />