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1 - I <br /> a SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P. 0. Box'12009 <br /> Stockton , CA 95201 <br /> (209) 466-6781 <br /> Jogi Khanna, M.O. , Health Officer <br /> 'MMBUI81 <br /> i M & M BUILDER'S SUPPLY "M & M BUILDER'S SUPPLY <br /> 8111 W. BUSINESS LOOP 205 • 118111 W. BUSINESS LOOP 205 <br /> P.O. BOX 1107 . :'TRACY, CA 95376 <br /> TRACY, CA 95376 <br /> Billing statement for 1987 Permit Underground Tank Facility. <br /> f <br />] Statement Date: MAY 1. 1987 <br /> Due: JUNE 1. 1987 <br /> l <br /> Facility $ 100.00 <br /> Container # ' Status <br /> p 1 -L $ 54.0 <br /> 50.0 <br /> l _ $ PAYMENT <br /> j — $ RECEIVED <br />++ - MAY 4 1987 <br /> 1 State surcharges @ $56 per tank x _ _ $ _ <br /> Subtotal of permit fees: $ ENVIRONMENTAL HEALTH <br /> 240.40 PERMITISERVICES <br /> Additional Billings or Credits <br /> Additional 1986 fee $ 106.00 <br /> 71 Active tank + surcharge) $306.00 <br />++ TOTAL FEES DUE: <br /> 1 Penalties will be added Notify the San Joaquin Local Health District <br /> past due date as shown: of any corrections!jor changes necessary. <br /> Permit will be mailed upon receipt of payment <br /> and approval of facility. <br /> 30 days - 100% of Base FeeReturn payment along with one copy of this <br /> statement to: <br /> San Joaquin Local Health District <br /> t Environmental Health Permit/Services <br /> P. 0. Box 2009, Stockton, CA 95201 <br /> I A - Active <br /> TC - Temporary Closure <br /> j PC - Permanent Closure <br /> i <br />