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L � ' <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P.O. Box 2009 <br /> Stockton, CA 98201 <br /> 0209) 468-342S <br /> Jc�3i Khanna, M.D. , Health Officer <br /> METTLI7 <br /> OLE R. MET T LER OLE R. METTLER <br /> <br /> LL I , CA 9540 <br /> Billing Statement. For 1969 Permit, Underground Tank Facility . <br /> Statement Date July 1, 1989 <br /> Payment. Due Date; August 1 , 1989 <br /> Facility Fee; i00-00 <br /> Container Number: 0001 50.00 <br /> 0002 50.00 <br /> 0003 50.00 <br /> TOTAL FEES DUE $250.00 <br /> NOTES; <br /> Notify the .ail 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. BOY. 2009 <br /> STOCKTON, CA 95201 <br /> Penalties will be added after <br /> due date as shown; <br /> 30 days - 100% of Base Fee <br />