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SAN JOAQUIN LOCAL HEALTH DiS'TRICi <br /> 1601 E. Haze}ton Ave. , P.O. Box 1.009 <br /> Stocl::ton, L:A '1.4:Ic.il <br /> (209.3 46G-3"4'_--,i; <br /> Joqi. Khanna, H.O. , Health Officer <br /> RIPON-SO <br /> RIPON PACIFIC PICKLE CO RIPON PACIFIC. PICKLE Cu <br /> <br /> STKN, CA 95205 <br /> Siiling 'Statement For. 198:9 Permit, Ul-Ider-ground Tani: Facility . <br /> Statement Date January 1, 1383 <br /> Payment Due Date; February .1 , ' <br /> Previous Balance 506.00 <br /> Facility Fee; 100.00 <br /> Facility Fee; 100.00 <br /> pr.i;l S0"00 <br /> 0001 50.00 <br /> TOTAL FEE_, DUE $506.00 <br /> TES: <br /> 13 iT.=;; , <br /> Notify the San Joaquin Local <br /> Health District of any <br /> corrections or changes <br /> necessary . Your pe'^ruit will \ <br /> tie mailed upon receipt of <br /> payment and approval of <br /> facility. <br /> Return payment alcing with One <br /> Copy of this statement t..: <br /> SAN JOAUUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH PERMIr1'oERVICE! <br /> P.O. BOX 2009 <br /> SPYOCKTON. CA 95201 <br /> Penalties will be added after <br /> due date as shown; <br /> sl! day=_. - 100'% of Ease Fee <br />