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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 160.1 E. Hazelton Ave. , P. 0. Box 2009 <br /> Stockton, CA 95201 <br /> (209) 466•-6781 <br /> Jogi Khanna, M.D. , Health Officer <br /> LINDE01 <br /> LINDEN UNIFIED SCHOOL DISTRICT LINDEN UNIFIED SCHOOL DISTRICT <br /> 18527 E. MAIN ST. 18351 E. MAIN ST. <br /> LINDEN, CA 95236 LINDEN, CA 95236 <br /> Billing statement for 1987 Permit Underground Tank Facility. <br /> Statement Date: JULY 15, 1987 <br /> Due; AUGUST 15, 1987 <br /> Facility $ 100.00 <br /> Container # *Status <br /> A $ 50.00 <br /> z a , 50.00 <br /> A $ 50 �� <br /> —4— A $ 50.00 <br /> State surcharges @ $56 per tank x <br /> Subtotal of permit fees: $ 300.00 <br /> Additional Billings or Credits <br /> (Debit Balance Due 1986) <br /> 5524.00 <br /> (4 tanks & surcharge fees) S 824.00 <br /> TOTAL FEES DUE: <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 /> TC - Temporary Closure <br /> PC - Permanent Closure 0 <br />