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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Avenue , P 0 Box 2009 <br /> Stockton , CA 95201 <br /> (209)466-6781 <br /> Jogi Khanna, M.D. , Health Officer <br /> . G.M. WINCHELL & SONS WATER10 <br /> • P. 0. BOX 5523 WATERLOO MARKET <br /> • STOCKTON, CA 95205 10415 WATERLOO RD. <br /> STOCKTON, CA 95205 <br /> Billing statement for 1985 & 1987 PERMIT Underground Tank Facility . <br /> Statement Date: SFPTFMBFR 10_ 1987 Date Due OrTOBER 14.1987 <br /> 1986 1987 $100.00 <br /> Facility $100.00 Facility <br /> Tank # *Status Tank # *Status P4.ytA .� <br /> 1 A 5 50 1 A� $_50-_ RGE1v�D <br /> 50 _ 2 _ A 0 <br /> 3 X_ T'—�-- 2 50 <br /> TAL HEALTH <br /> ¢4N�E1S�RVICES <br /> State surcharges $56 per tank x3 = $ 168.00 <br /> Subtotal of permit fees 1986 $ 2SQ�Qp_— <br /> Subtotal of permit fees 1987 $ 250.00 <br /> TOTAL FEES DUE: $ 668.00 <br /> *A - ACLive <br /> ,rc - Tempol•.Lc•y Clos;Lo1-0 <br /> PC - PermancnL C1or,u1-0 <br /> NoLi fy the San Joaquin Local Ifeal tlr Uz ; Lr is t. of any corrc!cLioll ; or ehangec i <br /> n(Ic'Qti:;;rry . <br /> Return payment along; W ) Lh 01W copy Of' thi5 Stateimic'nL to : <br /> San Joaquin Local Health District <br /> Environmental Health Permit/Services <br /> P 0 Box 2009 , Stockton , CA 95201 <br />