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SAN JOAQUIN LOCALHEALTHDISTRICT <br /> 1601 E. Hazelton Ave. , P. 0. Box 2.009 <br /> Stockton, CA 95201 <br /> (209) 466-6781 <br /> Jogi Khanna, M.D. , Health Officer <br /> CHEVRON CHEVR44 <br /> 4400 WATERLOO ROAD CHEVRON <br /> STOCKTON, CA 95205 4400 WATERLOO ROAD <br /> STOCKTON, CA 95205 <br /> Billing statement for 1981 Permit Underground Tank Facility. <br /> Statement Date: MAY 1 , 1987 <br /> Due: JUNE 1, 1987 <br /> Facility $ 100.00 <br /> Container M *Status <br /> 1 A 50.00 <br /> 2 7- 5 0 <br /> 3 c, 50. 0 <br /> 4 <br /> State surcharges @ $56 per tank x <br /> Subtotal of permit fees: 5300.00 <br /> Additional Billings or Credits <br /> TOTAL FEES DUE: 5300.00 <br /> Penalties will be added Notify the San Joaquin Local Health District <br /> past due date as shown: of any corrections or chancres 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 Temjrorary Closure <br /> 1'C - Porriianont Clo;urr, <br />