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SAN J[AQ/``N [OCA[ HEALTH DISTRICT <br /> 1601 E. H�lton Ave ' P.O. Box 2809 ^ � <br /> Stucktcln/ CA 95201 <br /> (209) 468^342'_� <br /> Jog Khanna/ M DHealth 8fficer <br /> ^ <br /> ALEGR-S0 <br /> FRANK C ALE8RE <br /> <br /> <br /> <br /> N. CLUFF AVENUE <br /> L8Dl/ / CA 96240 <br /> B"lin9 Statement For 1989 PerNit/ Underground Tank Facility ' <br /> 3tateme1-it Uate J <br /> � anuary 1/ 1989 <br /> Payment Due Date� February 1 / 1989 <br /> Facijity Fee; <br /> 100 OO <br /> Containe� Number: 0001 50.00 <br /> 0002 6000 <br /> O003 SO OO <br /> 0004 60.00 <br /> 0005 so.00 <br /> ---------- <br /> TOTAL FEES DUE $360,00 <br /> NOTES; <br /> ,Notify the San Joa';uif­l Local <br /> Hea>th District of any <br /> corrections or changes <br /> necessary Your permit will <br /> be maiied uPon receipt. of <br /> Payment and approval of <br /> facility. <br /> Return Payment alnn9 with one ' <br /> COPY of this statement to� <br /> ` <br /> SAN J0AA01N LOCAL. HEALTH UlSTR}Cl <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> P.O. B8X 2009 <br /> ST0CKT0N, CA 96201 <br /> Penalties will be adVed after <br /> due date as shown: <br /> 30 days ' 10()% ol Base Fee <br />