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00 <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Avenue , P 0 Box 2009 <br /> Stockton , CA 95201 <br /> (209)466-6781 <br /> Jogi Khanna, M.D. , Health Officer <br /> HOGAN MANUFACTURING, INC <br /> P.O. BOX 398 <br /> ESCALON, CA 95320 HOGAN MANUFACTURING, INC. <br /> 19527 S. MCHENRY AVENUE <br /> ESCALON, CA 95320 <br /> Billing statement for 1986 - 1987 Underground Tank Facility . <br /> Statement Date: JUNE 2, 1987 Date Due JUNE 30, 1987 <br /> 1986 1987 <br /> Facility $100.00 Facility $100.00 <br /> Tank N *Status Tank H *Status <br /> 1 A S 50.00 1 A S 50.00 <br /> 2 A 500 A —5D:00 <br /> 3 A 300 —7� —50:00 <br /> PAYMENT <br /> RECEIVED <br /> -- - --- - - JUL 2 1 1987 <br /> State surcharges @ $56 ENVIRONMENTAL HEALTH <br /> per tank x 3 $ 168.00 PERMIT/SERVICES <br /> Subtotal of permit fees 1986 $ 250.00 <br /> Subtotal of permit fees 1987 $ 250.00 <br /> TOTAL FEES DUE: $ 668.00 <br /> *A - Active <br /> TC - 'remporary Closure <br /> PC - Permanent Closure <br /> Notify the San Joaquin Local Health District of any cor-rec_tions---o;7--,changes <br /> ncces:;a ry .. <br /> Return payment along with one copy of this statcrnent to: <br /> San Joaquin Local Ilealth District <br /> Environemntal Health Permit/Services <br /> I' 0 Box 2009, Stockton , CA 95201 <br /> 0 0 <br />