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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P. 0. Box 2009 <br /> Stockton, C1` 95201 <br /> (209) 466-67131 <br /> Jogi Khanna, M.D. , Health Officer <br /> .UHAUL27 <br /> U-HAUL COMPANY OF FRESNO U-HAUL COMPANY-STOCKTON MOVING CENTER <br /> P. 0. BOX 5746 .2701 N. WILSON WAY <br /> FREMONT CA 94537 STOCKTON, CA 95205 <br /> Billing statement for 1997 Permit , Underground Tank Facility, <br /> Statement Date: APRIL 15, 1987 <br /> Due: MAY 15, 1987 <br /> Facility $ 100.00 <br /> Container N *Status <br /> 1 50.00 <br /> 2 5U U0 <br /> 3 A— �SU 0 <br /> 4 Ar— 0 <br /> State surcharges @ $56 per tank x <br /> Subtotal of permit fees: $300.00 <br /> Additional Billings or Credits <br /> (Debit 1986- Additional tank & surcharge fee) $ 106.00 <br /> TOTAL FEES DUE: 5406.00 <br /> Penalties will be added Notify the San Joaquin Local Health District <br /> past 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 /> A Active <br /> P. 0. Box 2009, Stockton , CA 95201 <br /> - <br /> TC - Temporary Closure <br /> PC - Permanent Closure <br />