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S•JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. . P. 0. Box 2009 <br /> Stockton, CA 95201 <br /> (209) 466-6781 <br /> Jogi Khanna, M.O. , Health Officer <br /> CAPTR43 <br /> CAP TRANSPORT, INC. CAP TRANSPORT, INC. <br /> ATTN: FRED 4303 S. MCKINLEY AVENUE <br /> P.O. BOX 4184 STOCKTON, CA 95206 <br /> FREMONT, CA 94539 <br /> Billing statement for 1987 Permit Underground Tank Facility. <br /> Statement Date: JUNE 1, 1987 <br /> Due : JULY 1, 1987 <br /> Facility S 100.00 <br /> Container N Status <br /> 1— A 50 <br /> State surcharges @ S56 per tank x = <br /> Subtotal of permit fees: 5150-0D <br /> Additional Billings or Credits <br /> Balance from 1986 5116.00 <br /> TOTAL FEES DUE: SZ66"00 <br /> Penalties will be added Notify the San Joaquin Local liealth 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 - 1001 of Base Fee Return payment along witlr one copy of this <br /> statement to: <br /> San Joaquin Local tical Ur District <br /> Environmental Health Permit/Services <br /> A - Active P. 0. Box 2009, Stockton . CA 95201 <br /> TC - Temporary Closure <br /> P( - Perm.lrlr`nl Clmurv' <br />