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SAti JtHIN LOCAL �TH DISTRICT % <br /> 1501 E. Haa��Iton Ave., P.O. Box 2009 <br /> Sivt,kton, CA 95201 t <br /> (209) 458-3b2S <br /> Jogi acdnna, N.D., Health Officer U <br /> AOFFnil <br /> ARF FARM SERVICES FU FARM SERVICE' o%,,y <br /> <br /> <br /> STOWON, CA 95205 <br /> Billing ';tatement. For i'_j`d9 Permit, Ondergrcaind Tank Facility. <br /> =JTH <br /> Statement Date ; August 1, 1989 K <br /> Payment. Due Gate; September <br /> Previous Balance 55.(x) <br /> Facility Fee: 100.00 <br /> Container Number. 0001 50.00 <br /> TOTAL FEES fkiE -32(0.00 <br /> NOTES; <br /> Notify the San Joaquin Local <br /> health District of any <br /> Corrections or changes <br /> necessary. Your permit will <br /> to ailed upon receiptof <br /> payment and approval of <br /> facility. <br /> Return Payment along with one <br /> copy of this statement to; <br /> SAN JOIN LOCAL HEALTH DISTRICT <br /> ENVIR`CRENTAL HEALTH PERM]T/KRVIiES <br /> P.O. BOX 2009 <br /> Sax-IoN, CA 35201 <br /> Penalties will be added after <br /> due date, as Shown; <br /> 3,', dais - PW% of Base Fee n <br /> i <br /> r <br /> 1' <br /> 6 <br /> d <br />