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6 <br />• <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 />MARLOW PROPERTIES <br />P. 0. BOX 211 <br />SAN RAFAEL, CA 94915 <br />Billing statement for 1987 Unde d T <br />Statement Date: <br />Due: <br />.BURRU46 <br />BURRUEL ELECTRIC CO. <br />,4638-A WATERLOO RD. <br />.STOCKTON, CA 95205 <br />rgroun ank Facility. <br />OCTOBER 26, 1987 <br />NOVEMBER 15, 1987 <br />Facility $ 100.00 <br />Container # *Status <br />1 A $ 50.00 <br />State surcharges @ $56 per tank x <br />Subtotal of permit fees: <br />Additional Billings or Credits <br />Penalties will be added <br />past due date as shown: <br />30 days - 100% of Base Fee <br />A - Active <br />TC - Temporary Closure <br />PC - Permanent Closure <br />0 <br />TOTAL FEES DUE: <br />$ 150.00 <br />$ <br />$ 150.00 <br />Notify the San Joaquin Local Health District <br />of any corrections or changes necessary. <br />Permit will be mailed upon receipt of payment <br />and approval of facility. <br />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 />Is <br />