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j - Y SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Avenue , P 0 Box 2009 <br /> Stockton , CA 95201 41 '' <br /> (209)466-6781 <br /> Jogi. Khaana, M.D.' Health Officer <br /> STOCKTON-EAST WATER DISTRICT .NBSTOCK67 <br /> •P 0 BOX 5157 STOCKTON-EAST WATER DISTRICT <br /> • STOCKTON, CA 95205 6767 E. MAIN ST. <br /> STOCKTON, CA 95205 <br /> Billing statement for 1986-1987 Underground Tank Facility . <br /> Sept . 30 , 1987 Date Due October 30 , 1987 <br /> Statement Date : . <br /> 1986 1937 <br /> Facility $100.00 Facility $100 .00 <br /> Tank # *Status 'Tank ! *Status <br /> - 1-- _ -_ g�SSZ _-A-- $ 4-- <br /> —A- _5 _ 2 _A ��- <br /> 3 —A <br /> �,r c <br /> State surcharges $56 per tank x 3 <br /> Subtotal of permit fees 1986 $ <br /> 250 .00 <br /> Subtotal of permit fees 1187 $ 250 .OQ_ <br /> TOTAL FEES DUE - $ 668 . 00 <br /> *A - Active <br /> TC - Temporary Cloc iurc <br /> PC - Porniallent Closur-4. <br /> Notify the :iun Joaquin 1,o .al Beal1h 1)r :;tric: t. of any corn(*c ions or changes <br /> rtta(:cr,:s;r ry Y . <br /> 1leLurrr )aynrc.iit :tiong %vt t It ons cooly o1' t Iii :; statement tu : <br /> :;:►n Jc):tcluin Local Health District <br /> Environemutal klealth Permit/Services <br /> 1; O 13ox 2o09 , Stockton , CA 95201 <br /> PAYMENT <br /> RECEIVEL) <br /> NOV 12 1987 <br /> ENVIRONMENTAL HEALTHt,7 <br /> . <br /> PERMIT/SERVICES <br />