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i <br /> . - 0 <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> i 1601 E. Hazelton Ave. , P. 0. Box 2009 <br /> Stockton, CA 95201 <br /> (209) 466-6781 <br /> Jogi Khanna, M.D. , Health Officer <br /> • WH I S K34 <br /> .WHISKEY SLOUGH HARBOR - WHISKEY SLOUGH HARBOR <br /> BERNARD & RITA PFLAUM 3401 S. WHISKEY SLOUGH RD. <br /> P. 0. BOX 107 HOLT, CA 95234 <br /> HOLT, CA 95234 <br /> Billing statement for 1987 'PERMIT Underground Tank Facility. <br /> Statement Date; APRIL 15, 1987 <br /> Due: HAY 15, 1987 <br /> Facility $ 100.00 <br /> Container # Status <br /> I A 50.00 <br /> 2 50.00 <br /> $ <br /> State surcharges @ $56 per tank x <br /> Subtotal of permit fees: $ 200.00 <br /> Additional Billings or Credits <br /> $ <br /> TOTAL 'FEES DUE: $ 200.00 <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. 0. Box 2009, Stockton, CA 95201 <br />