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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 /> Jogi Khanna, M.D. , Health Officer <br /> .LINDE30 <br /> . Shell Oil Company LINDE'S SHELL <br /> <br /> ,Stockton, CA 95209 <br /> Billing statement for 1987 Permit , Underground Tank Facility. <br /> Statement Date: September 3, 1987 <br /> Due: October 3, 1987 <br /> NT <br /> Facility $ 100 REG <br /> Container M `Status 50 <br /> 2 A �— �C NEP�tN <br /> �3 4 -A- $ r'OV\?'0 5ER 10E5 <br /> .5 � $ n(Tank Removed) <br /> State surcharges @ $56 per tank x _I = $ 56 <br /> Subtotal of permit fees: $ 356.00 <br /> Additional Billings or Credits <br /> S <br /> TOTAL FEES DUE: $ 356.00 <br /> Penalties will be added Notify the San Joaquin Local Health 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 - 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 /> A - Active P. 0. Box 2009, Stockton, CA 95201 <br /> TC - Temporary Closure <br /> PC - Permanent Closure <br /> i <br />