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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E Hazelton Ave , P.O. Box 2009 <br /> Stockton, CA 95201 <br /> (209) 468-342S <br /> Jon Khanna, M.D. , Health Officer <br /> SC0TT67 <br /> <br /> <br /> TRACY, CA 95376 <br /> Billing Statement For 1988 Permit, UndergrQUnd Tank Facility. <br /> Statement Date January 15/ 1988 <br /> Payment Due Date; February 15, 1988 <br /> Facility Fee� 100.00 <br /> Container Number : 0001 60.00 <br /> 0002 50.00 <br /> 0003 S0.00 <br /> TOTAL FEES DUE <br /> NOTES: <br /> Notify the San Joaquin Local <br /> Health District of any <br /> corrections or changes <br /> necessary . Your permit will <br /> be mailed upon receipt of <br /> payment and approval of <br /> facility . <br /> Return payment along with one <br /> copy of this statement tOi <br /> SAN JOA&UlN LOCAL HEALTH DISTRICT /��f�8��Y�' <br /> r�~ <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES� V1,4V1,4��C� <br /> P U BOX 2009 ' <br /> STOCKT0N, CA 95201 <br /> Penalties will be added after <br /> d date � hown� �/ ~��nV\[�� <br /> due a e s s �"' <br /> - - ' - -' 9tunv . <br />