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r <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Avenue, P O Box 2009 <br /> Stockton , CA 95201 <br /> (209)466-6781 <br /> Jogi Khanna, M.D. , Health Officer <br /> • CITY OF MANTECA MANTE20 <br /> • C/O DAVID MUELLER CITY OF MANTECA <br /> . DIRECTOR OF PUBLIC WORKS 205 E. WETMORE AVENUE-VEHICLE MAIN. SHOP <br /> • 1001 WEST CENTER STREET MANTECA, CA 95336 <br /> MANTECA, CA 95336 <br /> Billing statement for 1986-1987 Underground Tank Facility . <br /> Statement Date: JUNE 3. 1987 Date Due JUNE 30, 1987 <br /> 1986 1987 <br /> Facility _5100.00 Facility $100.00 <br /> Tank # *Status Tank # *Status <br /> 1 A S 50.00 1 A g 50.00 <br /> -- PAYMENT <br /> — — RECEIVED <br /> JUL 2 '( 1887 <br /> ENVIRONMENTAL HEALTH <br /> State surcharges 0 $56 per tank x 1 = $ 56.00 PERMIT/SERVICES <br /> Subtotal of permit fees 1986 $ 150.00 <br /> Subtotal of permit fees 1987 $ 150.00 <br /> TOTAL FEES DUE: $ 356.00 <br /> *A - Active <br /> TC - Temporary Closure <br /> PC - Permanent Closure <br /> Notify the San Joaquin Local Health District of any corrections or changes <br /> necessary . <br /> Return payment along with one copy of this :statement to : <br /> San Joaquin Local Health District <br /> Environemntal Realth Permit/Services <br /> P 0 Box 2009, Stockton , CA 95201 <br />