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f • <br /> 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. M.D. , Health Officer <br /> MCCORI2 <br /> MCCORMICK AND BAXTER CREOSOTING MCCORMICK AND BAXTER CREOSOTINI <br /> P . 0. Box 1728 1214 W. WASHINGTON <br /> STOCKTON , CA 95201 STOCKTON , CA 95203 <br /> Billing statement for 1987 Permit Underground Tank Facility. <br /> Statement Date: May 8, 1987 <br /> Due: June 8 , 1987 <br /> Facility $ 100 <br /> Container p tStatus <br /> I A 50 <br /> 2 7- 50 <br /> 3 7- 550 <br /> Subtotal of permit fees: 25D_ <br /> Additional Billings or Credits <br /> credit from 1986 S -90 <br /> TOTAL FEES DUE : 5160 . 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 /> and approval of facility. <br /> 30 days - 100% of Base Fee Return payment along with one copy of this <br /> statement to: <br /> San Joaquin Local Health District <br /> Environmental Health Permit/Services <br /> P. o. Box 2009, Stockton , CA 95201 <br /> A - Active <br /> TC - Temporary Closure <br /> Pf - Pcrr.anrnt clo;un. <br /> 0 <br />