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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 /> Jogi Khanna. H.D. . Health Officer <br /> MANDK89 <br /> M & K M & K <br /> P. 0. BOX 433 8960 W WALNUT GROVE <br /> THORNTON, CA 95686 THORNTON , CA 95686 <br /> Billing statement for 1987 Permit Underground Tank Facility. <br /> Statement Date: MAY 1 , 1987 <br /> Due: JUNE 1, 1987 <br /> Facility S 100.00 <br /> Container N *Status S <br /> 1 A 50 <br /> ( 5 5u- <br /> 3 �– <br /> 3 A �— <br /> State surcharges @ $56 per tank x <br /> Subtotal of permit fees: S 250 <br /> Additional Billings or Credits <br /> TOTAL FEES DUE: 5259 no <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 /> 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 liealth District <br /> Environmental Health Permit/Services <br /> A - Active P. 0. Box 2009, Stockton, CA 95201 <br /> TC - Temporary Closure <br /> PC - Permanent Closure <br />