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` SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P. 0. Box 2009 <br /> Stockton, CA 95201 <br /> (209) 466-6781 <br /> Jogs Khanna, M.D. , Health Officer <br /> . HAYRE12 <br /> . HAYRE ' S EGG PRODUCERS . HAYRE ' S EGG PRODUCERS <br /> 1256 5 S 114AI�THEY RD. <br /> 12565 S '.!�ZANTHEY RD . LATHROP , CA 95330 <br /> LATHROP , CA 95330 ' <br /> Billing statement for 1987 Permit Underground Tank Facility. <br /> Statement Date: March 15 1987 ' <br /> Due: Anri_1 15 .19$7 <br /> Facility $ 100 <br /> Container # *Status <br /> 1 A $-La— <br /> r <br /> 4 A ^ <br /> State surcharges 0 $56 per tank x <br /> Subtotal of permit fees: $ 300 <br /> Additional Billings or Credits <br /> $ <br /> TOTAL FEES DUE: $ 300.00 <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 /> A - Active <br /> TC - Temporary Closure <br /> PC - Permanent Closure <br /> 40 0 <br />