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j <br /> �l SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Avenue, P 0 Box 2009 <br /> Stockton, CA 95201 <br /> (209)466-6781 <br /> Jogi Khanna, M.D. , Health Officer <br /> HOWARD E. RICHARDSON - RiCKS26 <br /> •' 8600 N. WEST LANE - SPACE #103 HOWARD E. RICHARDSON <br /> • STOCKTON, CA 95210-2241 2662 N. WILSON WAY <br /> STOCKTON, CA 95205 <br /> Billing statement for 1986 - 1987 permit Underground Tank Facility . <br /> Statement Date: - MAY 26 1987 Date Due. ,IUNF in, 1qR7 <br /> 1986 1987 <br /> Facility $100.00 Facility $100.00 <br /> Tank ## *Status Tank ## *Status <br /> 1_ .A_ $ 50-00 <br /> - 2—_ —A- 5__5.o. p 2 <br /> —g- <br /> State surcharges @ $56 per tank x <br /> 2 _ $__112.00 <br /> Subtotal of permit fees 1986 $ 200.00 <br /> Subtotal of permit fees 1987 $ 200.00 <br /> c <br /> TOTAL FEES DUE: $ 512.00 <br /> *A - Active <br /> 'TC - 'remporary Closure <br /> PC - Permanent Closure <br />(- Notify the San Joaquin Local lfealth District of any <br /> necessary . corrections or changes <br /> Return payment '110119 with one copy of this statement to: <br /> San Joaquin Local health District <br /> Environemntal health Permit/Services <br /> P O Box 2009 , Stockton, CA 95201 <br /> i <br />