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"1 } <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , F.U. Box 2009 <br /> Stockton, CA 95201 <br /> (209) 463-3425 <br /> fogi Khanna, M.D. , Health Officer <br /> FIST03S <br /> <br /> <br /> ATY7 CA 95376 <br /> Billing Statement For 1939 Permit., Underground Tank Facility. <br /> Statement Date July 1 , 1939 <br /> Payment Due Date; August. 1 , 1939 <br /> Facility Fee; 100.00 <br /> Container Number; 0001 50.00 <br /> 0002 50.00 <br /> - <br /> TO'rAL FEES DUE $200.00 <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 to; <br /> SAN JOAQUIN LOCAL HEALTH DISTRIC:'I <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> P.O. BOX 2009 <br /> SrOCK,TON, CA 95201 <br /> Penalties will be added after <br /> due date as shown; <br /> 30 days - 100% of Base Fee <br />