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SAN JOAQUIN LOCAL HCALTli DISTRICT <br /> 1601 L. Hazelton Ave. , 13. 0. Box 2.009 <br /> Stockton, CP, 95201 <br /> (209) 466-6781 <br /> Jogi Khanna, M.D. , liealth 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 1987 Permit Underground Tank Facility. <br /> Statement Date: APRIL 15, 1987 <br /> Due: MAY 15, 1987 <br /> Facility , 100.00 <br /> Container # `Status <br /> 1 g 50.00 <br /> 2 0 <br /> 3 — (JO PAYMENT <br /> A— UO RECEIVED <br /> 4 A-- <br /> MAY 13 1961 <br /> ENVIRONMENTAL HEALTH <br /> State surcharges @ $56 per tank x PERMITISERVICES <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 : $406.00 <br /> Penalties will be added Notify the San Joaquin Local Ilealth District <br /> past due date as shown: of any corrections or changesnecessary. <br /> Permit will be mailed upon receipt of payment <br /> and approval of facility. <br /> 30 days l 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 P. 0. Box 2009, Stockton, CA 95201 <br /> TC - Temporary Closure <br /> PC - Permanent Closure <br />