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` <br /> SAN JXAQU}N LOCAL HEALTH DlSlR}CT ` <br /> i6V1 E. Haze\ton Ave . P.8 Box 2O09 ` <br /> Stockton, CA 9S20� <br /> (209} 468-342S <br /> Jo9i Khanna, M.D. / Health Officer / <br /> Fl0B49 <br /> FRlPST0NE TIRE & RU88'ER CO FIRESTONE TIRE & RUBBER CO <br /> <br /> � ST0CKT8N/ C# 96207 <br /> -Billing Statement For 198"9 Permit' Underground Tank Facility . <br /> Statement Date January \ / 1989 <br /> PayNe'int Due Date: February 1 1%'9 <br /> Facility Fee% 1(K).00 <br /> Container Number� 0001 5O.(it) <br /> ^-~^~--`~ - <br /> TOTAL FEES DUE $1S10.00 <br /> N8TES; <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 paYmen{ along with one <br /> copy of this statement to; <br /> SAN .l0AQUlN LOCAL HEALlH DlSTKlCl <br /> ENVl@uNMENTAL HEALTH FERMI T/SFRVICES <br /> P.0. BOX 2O04 <br /> STOCKT8N/ CA 96201 <br /> Penalties will be added after <br /> due date as shown; <br /> 30 days - 100% of Base Fee ^ <br /> , <br />