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SAN JOAQUIN LOCAL HEALTH DISTRlICT <br /> i <br /> 1601 E. Hazelton Ave. , P. 0. Box 2009 <br /> Stockton, CA 95201 Ij <br /> (209) 466-6781 <br /> Jogi Khanna, M.U. , Health Officer <br /> PARAG46 <br /> PARAGON VENTURES ' ;PARAGON VENTURES j. <br /> 4638-B WATERLOO RD. • 1.46381,6 WATERLOO RD. r <br /> STOCKTON, CA 95205 • STOCK,TON, CA 95205 <br /> Billing statement for 1987 PERMIT Underground Tank Facility. <br /> Statement Date: JULY 21, 1987 <br /> i <br /> Due: AUGUST 21, 1987 PAYMENT <br /> RECEIVED <br /> Fac i 1 i ty100.00 SEP , &.� <br /> Container # *Status ENVIRONMENTAL HEALTH <br /> 1 A 1 - 50.000 PEZMIT f SERVICES <br /> PAYMENT <br /> _ RECEIVED <br /> $._- 5t? 2 19d 7 <br /> State surcharges @ $56 per tank x _ _ �_ i i ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES <br /> Subtotal of permit fees: $15000 <br /> i q(Z cr <br /> j Additional Billings or Credits <br /> ! (DEBIT BALANCE DUE-1986) <br /> S 100.00 <br />, i ► <br /> TOTAL FEES DUE: $250.00 <br /> Penalties will be added Notify the San Joaquin Local Health District <br /> past'due date as shown-:-- of any corrections :'or cA'anges necessary. <br /> Permit will be mail-!ed upMon receipt of payment <br /> and approval of facility. <br /> 30 days - 100% of Base Fee II I� <br /> Return payment along with one copy of this <br /> statement to: !' <br /> San Joaquin Local Healtq 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 /> - T At <br />