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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P.O. Box 2009 <br /> Stockton, CA 95201 <br /> (209) 468-3425 <br /> Jogi Khanna, M.U. , Health officer <br /> ELLIS82 <br /> LANCE ELLIS ELLIS CAR WASH <br /> <br /> UODI„ CA 95240 <br /> Billing Statement. For 1988 Permit, Underground Tank. Facility. <br /> Statement Date January 15, 1928 <br /> payment Due Date: February 15, 158L; <br /> Facility Fee; 100.00 <br /> Container Number: 0001 50.00 <br /> 0002 50.0C> <br /> 0003 50.00 <br /> 0004 50.00 <br /> TOTAL FEES DUE $300.00 <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 2009 <br /> STOCKTON, CA 95201 <br /> Penalties will be added after <br /> due date as shown: <br /> 30 days - 100 of Erase Fee I <br /> - - -- - --- - - - -� <br />