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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, M.D. , Health Officer <br /> PORT022 <br /> PORT OF STOCKTON <br /> . PORT OF STOCKTON 2201 W. WASHINGTON <br /> P. 0. BOX 2089 STOCKTON, CA 95203 <br /> STOCKTON, CA 95201 <br /> Billing statement for 1986 Fees Underground Tank Facility. <br /> Statement Date: <br /> Due: OCTOBER 31, 1987 <br /> Facility $ <br /> Container # Status <br /> � <br /> �50.00 <br /> 9 <br /> I9 A $SOD <br /> �1 <br /> State surcharges @ $56 per tank x 2 <br /> Subtotal of permit fees: <br /> $212.00 <br /> Additional Billings or Credits <br /> $ 212.00 <br /> TOTAL FEES DUE: = <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 - IOOX 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. 0. Box 2009, Stockton, CA 95201 <br />