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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave., P.O. Box 2049 <br /> Stockton, CA 95241 <br /> (209) 468-342S <br /> Joy Khanna, M.D. , Health Officer <br /> BULLAI9 <br /> BERT BULLATORE BERT BULLATORE <br /> 19875 S. CARROLTON 19876 S. C:ARROLTON <br /> RIPON. CA 95366 RIPON, CA 95366 <br /> Billing Statement. For 1989 Permit, Underground Tank: Facility. <br /> Statement Date July 1 . 1989 <br /> Payment. Due Date: August 1 , 1989 <br /> Facility Fee; 144.04 <br /> Container Number; 0401 50.44 <br /> TOTAL FEES DUE $154.00 <br /> NOTE'S; <br /> Notify the San Joaquin Local <br /> Health District of any <br /> corrections or changes <br /> necessary . Your permit will <br /> be (hailed upon receipt of <br /> payment and approval of <br /> facility . <br /> Return payment along with one <br /> copy of this statement to; <br /> SAN TOAQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL_ HEALTH PERMIT/SERVICES <br /> F.D. BOX 2 <br /> 009 <br /> STOCKT4N, CA 95201 <br /> Penalties will be added after <br /> due date as shown; <br /> 30 days - 100% of Base Fee <br />