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SAN JOAQVIN LOCAL HEALTH DISTRICT <br /> 1501 E. Hazelton Ave. , P.O. Box 2009 <br /> Stockton, CA 96201 <br /> (209) 458-3447 <br /> Jogi Khanna, M.D. , Health Officer <br /> PARMHOLll <br /> R M +OLZ INC. R M-HOL2 INC. <br /> P. O. BOX 109 1129 S. SACRAMENTO <br /> LODI, CA 95241 LOOI, CA 9S241 <br /> Billing 'St.at.errent. for Service Period ending; December 31 , 1989 <br /> Environmental Health Permit to operate a Hazardous Waste Generator Facility <br /> based on Hazardous Waste manifested in 1987. .= 5 TOMS < 25 TOM'S <br /> Statement Crate, July 1, 1989 <br /> Due Dais; August1 , 1989 <br /> TOTAL DISE; $121.25 <br /> Penalties will be added after Notify the San Joaquin Local Health <br /> due date as shown; District of any corrections or <br /> changes necessary . Permit will be <br /> 30 days -100% of Base Fee mailed upon receipt of payment.. <br /> Return payment along with one copy <br /> of this st.at.ement. to: <br /> :ran Joaquin Local Health District <br /> Environmental Health Permit/Services <br /> P. O. Box 2009, Stockton, CA 95201 <br />