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0 0 <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E . Hazelton Ave. , I'. 0. Box 2009 <br /> Stockton, CA 95201 <br /> (209) 466-6781 <br /> Jogi Khanna, M.D. , Health Officer <br /> MOORE45 <br /> MOORE EQUIPMENT CO. <br /> 'MOORE EQUIPMENT CO. 4546 N. WILSON HAY <br /> P. 0. BOX 8098 STOCKTON, CA 95205 <br /> STOCKTON, CA 95208 <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 /> I A 50.00 <br /> 2 A 50.00 <br /> State surcharges @ $56 per tank x - PAYMENT <br /> — RECEIVEDSubtotal of permit fees: $ 200.00 5 <br /> MAY 19 19d l ��IY <br /> Additional Billings or Credits <br /> fNVIR4NMENTAI. HEALTH <br /> _ PERMIT/SERVICES <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 />