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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 /> • H014ARD 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 .111NF In- 1927 <br /> 1986 1987 <br /> Facility _$100.00 Facility $100.00 <br /> Tank # *Status Tank # *Status <br /> �— —A S 50, 0 —L A S--5a—OO <br /> _2 _ A 5o•oa _A 5000 <br /> State surcharges @ $56 per tank x_2 $ 112.00 <br /> Subtotal of permit fees 1986 $ 200.00 <br /> Subtotal of permit fees 1987 $ 200.00 <br /> TOTAL FEES DUE: $ 512.00 <br /> «A - rXc t i ve <br /> TC - Temporary .Closurc <br /> PC - Permanent closure <br /> Notify the San Joaquin Local Health Di-;trict of any corrections or changes <br /> ncc:ess.t r . <br /> Return paymenL along; with one Copy of this sLaLement to: <br /> San Joaquin Local Health District <br /> Environemntal Health Permit/Services <br /> P 0 Box 2009, Stockton , CA 95201 <br />