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4 <br /> I -;.AK <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton AVe. , P.ii. Bo" 2009 <br /> Stockton, CA :a5' Cl1 <br /> (209) 468-34-25 <br /> joogi Khanna. M.D. , I"eaith Officer <br /> PESCA36 <br /> PESCADERO RECLAMATION OISTRICT PESCADERO RECLAMATION DISTRICT <br /> <br /> TRACY, CA 95:37h <br /> E:illing Stat.eriient For 198x; Permit, l)nderaround Tank .Facility . <br /> Statement Date January 15, 1.38;= <br /> Previous Balances <br /> �Q( Facility Fee; ni <br /> Container Number: 0001 g 50.00 <br /> TOTAL FEES DUE $:300.00 <br /> NOTEC , <br /> Notify the can Joaquin Local <br /> Health District of any <br /> corrections or charges <br /> necessary . Your permit will <br /> be mailed upon receipt of <br /> j 'payment and approval of <br /> facility . <br /> Return payment alorlD with r'n". <br /> copy ofthis statement to: <br /> SAN jOfltflilN LOCAL HEALTH Dlc:iRICPAYMENT <br /> :T RECEIVED <br /> ENVIRONMENTAL HEALTH PERMIifSERVICES <br /> P.O. BOX 2009 FEB 41988 <br /> S(OCKTON, CA 95201 <br /> Penalties will be added afi.er ENVIRONMENTAL HEALTH <br /> due date as shown: PERMITISERVICES <br /> , ) da.ys - 100% of Base Fee <br />