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a <br /> *. SAN tOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , R.O. BO`/. 2009 <br /> a:G[4rt.nn, C:A 95201 <br /> (2097 4'03 -:3425 <br /> � i Jogi Khanna, M.U. , Health Officer <br /> UHAUL45 <br /> U-HAUL CO - LODI MOVING CENTER U-HAUL CO- LODI MOVING CENTER <br /> 450 N. CHEROKEE LANE 450 N. CHEROKEE LANE <br /> LODI, CA 95240 LODI, CA 95240 <br /> Billing Statement nor 1983 Perii i t, Underground lank: Fa+i l i t.y, <br /> Payment Due Date; February 15, 1928 <br /> Facility Fee; 1110.00 <br /> Container Number; 0001 50.00 <br /> 0002 50.00 <br /> 000:3 50.00 <br /> TOTAL FEES DUE --$150.00 <br /> NOTES <br /> Not IfY 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 JOArQUIN LOCAL HEALTH DIc:TRICT <br /> ENVIRONMENTAL HEALTH PERMIT!8ERVICES <br /> P.O. BOJ! 1009 PAYMENT <br /> 3TOCKTON, CA 95201 RECEIVED <br /> Penalties will be added after JAN 2 198`j <br /> due date as. shown; <br /> ENVIRONMENTAL HEALTH <br /> 30 oats. - 100; of Base Fee PERMIT/SERVICES <br />