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SAN ,-_,QUIN LOCAL HELATH DISTRICT <br /> 1601 E. Hazelton Ave. , P.O. Box 2009 <br /> Stockton, CA 95201 <br /> (209) 468-3425 <br /> Jogi Khanna, M.D. , Health Officer <br /> • Stockton Rural Cemetary STOCK01 <br /> <br /> END OF CEMETARY LANE <br /> STOCKTON, CA 95204 <br /> Billing Statement For 1988 Permit, Underground Tank Facility. <br /> Statement Date February 1, 1988 <br /> Payment Due Date: February 15, 1988 <br /> Previous 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 Joaquin Local, Health District of any corrections or changes <br /> necessary. Your permit will be mailed upon receipt of payment and approval <br /> of facility. <br /> Return payment along with one copy of this statement to: <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> P.O. BOX 2009 <br /> STOCKTON, CA 95201 <br /> Penalties will be added after due date as shown: 30 days - 100% of Base Fee <br />