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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. liazelton Avenue , P 0 Box 2009 <br /> Stockton , CA 95201 <br /> (209)466-6781 <br /> Jogi Khanna, M.D. , Health Officer <br /> •AMADOR STAGE LINES AMAD015 <br /> •P. 0. BOX 15707 AMADOR STAGE LINES <br /> -SACRAMENTO, CA 95852 1585 TURNPIKE <br /> STOCKTON, CA 95206 <br /> 1986-1987 Underground Tank Facility . <br /> Billing statement for <br /> OCTOBER 31, 1987 <br /> Statement Date: <br /> OCTOBER 5, 1987 Date Due i <br /> 1986 1987 $100 <br /> Facility $100 Facility <br /> Tank # *Status Tank # *Status ,d <br /> 1 A 350 1 A g50 �� <br /> -2— 5D 2 A 50 ,oF� <br /> -�-- 50 3 A 50 �� �`� <br /> _ <br /> :`0 <br /> �0' <br /> -17 <br /> � <br /> State surcharges ® $56 Per tank x 3 = $ 168 168 <br /> Subtotal of permit fees 1986 $- 250J <br /> Subtotal of permit fees 1987 250 668.00 <br /> TOTAL FEES DUE: $ <br /> *A -- Active <br /> '1'C - Ternporal-y t.'lc��ulc <br /> I>C - Permanent 1'10s111-0 <br /> Notify the san Joaquin local 11c;al th ict. cif any cc�1'rec tic�n_j or chan�;( :_ <br /> rwces,;ary . <br /> Return p<ryment along; %vi tl7 0110 copy of tliis stiit.c'mr�nt 1.() -. <br /> San Joaquin l,rjc.al Ilealtil I}i:rtrict <br /> Environemntal Ilealth permit/Services <br /> 1) 0 1Sox 2009 , Stockton , CA 95201 <br />