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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P.O. Box 2009 <br /> Stockton, CA_ 98201 <br /> (209) 468-3425 <br /> Jogi Khanna, M.D. , Health Officer <br /> SHAWV42 <br /> <br /> <br /> STOC:KTOW , CA 95205 <br /> Billing St.at.ement. For 1 +58 Permit, Underground Tank 'Facility . <br /> Statement Date January 15, 1981 <br /> Payment Due Date; February 15, 1988 <br /> Facility Fee; 100.00 <br /> Container Number; 0001 50.00 <br /> TOTAL FEES DUE $150.00 <br /> NOTES: <br /> Notify We 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 JOAQ.IIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH PERMIT/SER'JICES <br /> P.O. BOX 2009 <br /> STOCKTON, CA 95201 <br /> Penalties will be added after <br /> due date as shown: <br /> 30 days - 100% of Base Fee <br /> �J <br />