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SAN JOAQUIN LOCAL HEALTH DI'STRIC:T <br /> 1501 E. Hazelton Ave. , P.O. Box 2009 <br /> Stockton, CA 95201 <br /> (209) 453-:3425 <br /> J09i Khanna, M.D. , Health Officer <br /> <br /> <br /> 3650 W. CANAL <br /> TRACY, CA 95375 <br /> Billing Statement Fc,r 1988 Permit., Underground lank Facility, <br /> Statement Date January 15, 1983 <br /> Payment. Due Date; February 15, 1988 <br /> Pievious Balance 150.00 <br /> Facility Fee: 100.00 <br /> Container Number; 0001 .50.00 <br /> TOTAL FEES DUE $300.00 <br /> NOTES: <br /> Notify the San Joagwin 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 alum with one <br /> copy of this statement ta: <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> F.U. BOX 2009 <br /> STOCKTON, CA 95201 <br /> Penalties will be added; after <br /> due date as shown: <br /> 50 days - 100% of Base Fee <br />