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f <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Avenue, P O Box 2009 <br /> Stockton, CA 95201 <br /> (209)466-6781 <br /> Jogi Khanna, M.D. , Health Officer <br /> HOWARD E. RLEI�AR ON <br /> RICKS26 <br /> . 2662 N. ,ISON WAY <br /> STOCIyF N, CA 95205 -�= �'' ` ��- ~� `' f RICK'S NORWALKS SERVICE <br /> 2662 N. WILSON WAY <br /> STOCKTON, CA 95205 <br /> Billing statement for 1986 & 1987 PERMIT Underground Tank Facility. <br /> Statement Date: _ MAY 19, 1987 Date Due- 'JUNF30, 1987 <br /> 1986 . 1987 <br /> Facility $100.00 Facility $100.00 <br /> Tank # *Status Tank # *Status f <br /> 2 A _ 3 50.00 1 AL— <br /> 50.00 �_ A <br /> __5O.00 <br /> State surcharges @ $56 per tank x2_= $ LU—.in <br /> i <br /> Subtotal of permit fees 1986 <br /> Subtotal of permit fees 1987 <br /> $ 200.00 <br /> TOTAL FEES DUE: $ 512.00 <br /> *A - Active <br /> TC - 'Temporary Closure- _ <br /> I'C - Permanent Closure - - - - <br /> Notify the San Joaquin Local fica <br /> lth District of any corrections or changes <br /> necessary . <br /> Return payment along with one copy of* this statement to: <br /> San .Joaquin Local Health District <br /> Eavironemntal !Health Permit/Services <br /> P 0 Box 2009 , Stockton, CA 95201 <br /> i <br /> i <br />