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. • <br /> N JOAQUIN LOCAL HEALTH DISTRICT ("1W <br /> 1601 E. Hazelton Ave. . P. 0. Box 2009 v <br /> Stockton. CA 95201 <br /> (209) 466-6781 <br /> Jogi Khanna, M.O. . Health Officer <br /> WALNU10 <br /> WALNUT GROVE TRANSPORTS WALNUT GROVE TRANSPORTS <br /> 'ATTN: J.T. MANUS .10501 W. WALNUT GROVE ROAD <br /> P. 0. BOX. 726 THORNTON, CA <br /> WQLNUT GROVE, CA 95690 <br /> Billing statement for 1987 Permit Underground Tank Facility. <br /> Statement Date: JUNE 24, 1987 <br /> Due: JULY 15, 1987 <br /> Facility S 100.00 <br /> Container M Status <br /> 1 A !in-n <br /> 2 A s gD_nn <br /> _ 5 <br /> State surcharges @ SS6 per tank x <br /> Subtotal of permit fees: S Dn"(10 <br /> Additional Billings or Credits <br /> 1986 additional for underpayment S_40_.00 <br /> -TOTAL FEES DUE: S 240.00 <br /> Penalties will be added Notify the San Joaquin Local health District <br /> past due date as shown: of any corrections or changes necessary. <br /> Permit will be mailed upon receipt of payment <br /> and approval of facility. <br /> 30 days - 1002 of Base Fee Return paynent along with one copy of this <br /> staLement to: <br /> San Joaquin Local Health oistricL <br /> Environmental health Perini L/Sery ices <br /> P. 0. Box 2009, Stockton, CA 95201 <br /> A - Active <br /> TC - Temporary Closure <br /> PC - Pt•r c:a ntnt Clnturr <br />