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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1501 E. Hazelton Ave. , F.U. Box 2009 PAYMENT <br /> Stockton, CA 98201 RECEIVED <br /> (109) 458-3425 <br /> JOW Khanna, M.D. , Health Officer JAN 9 1993 <br /> ENVIRONMENTAL HEALTH <br /> RUN'S PERSONALIZED CHEVRON CHEVRI3 PERMITISERVICES <br /> 139 CENTER RON'S PERSONALL <br /> STOCKTON, 13y - IED CHEVRON <br /> CA 95202 W. CENTER <br /> STOCKTON, CA 95202 <br /> Billing Statement. For 1983 Permit, Underground Tants: Facility. <br /> Statement Date : January 1, 1989 <br /> Payment Due Date: February 1 , 1989 <br /> Facility Fee; <br /> ContainerNumber; 0001 100.00 <br /> 50.00 <br /> 0002 50.00 <br /> 0003 50.00 <br /> 0004 50.00 <br /> TOTAL FEES DOE $300.0 <br /> -- - <br /> $3U0.00 <br /> NOTES: <br /> Notify the San Joaquin 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 along with one <br /> COPY of this statement to: <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> P.O. BOX 200' <br /> STOCKTON, CA 95201 <br /> Penalties will be added after <br /> due date as shown: <br /> 30 days - i00% of Base Fee <br />