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A� <br /> RL , <br /> SAN 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.D. , Health Officer <br /> BJJCO24 <br /> 'B.J.J. COMPANY B.J.J. COMPANY <br /> P. 0. BOX 30010 2431 E. MARIPOSA RD. <br /> STOCKTON, CA 95213 STOCKTON, CA 95205 <br /> Billing statement for 1987 Underground Tank Facility. <br /> Statement Date: JULY 21 , 1987 <br /> Due: AUGUST 21, 1987 <br /> "KS <br /> Facility $ 700 00 T <br /> jwoN���� <br /> Container q Status �pNLA C <br /> 1A_ $ 50.80 Pt k L/ <br /> 2 A 50.00 rJL ��215 o <br /> pgi0 6�2 �Z°� <br /> $ <br /> State surcharges @ $56 per tank x <br /> Subtotal of permit fees: $ 600.00 <br /> Additional Billings or Credits <br /> TOTAL FEES DUE: $200.00 <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 th ' <br /> PAYMENT <br /> statement to: RECEIVED <br /> San Joaquin Local--Hearth—District <br /> Environmental Health Permit/Services SEP 281987 <br /> P. 0. Box 2009, Stockton, CA 95201 <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES <br />