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r SAN J{+A3!UIN 11 {+{:AL HEALTH DISTRICT <br /> .. 1601 E. Hazelton Ave. . P.O. Box 2003 <br /> M.ockton, CA 95201 <br /> (20'1) 46¢-3415 <br /> s <br /> Jd-ji Khanna, MAHealth Off PAYMENT <br /> RECEIVED <br /> > 8�aALi SEP ,qq <br /> Ai STONE CORPORATION, N.W. <br /> SARALE <br /> <br /> STOCKTON, CA tip.._; PPMITISEPVICES <br /> Billing Statement. F r 1'_ _9 F'erri,lt, iin:,ErgrounV wank Facility. <br /> Statement Date Au�.Ust 1 . 19-39 <br /> Payment. Due Date; 'september ],_1 <br /> Previous Balance 94.00- <br /> Facility Fee; 100.LIQ <br /> C.6 faiher Number: 0001 60.00 <br /> r0l HL FEES DJ'E ---556 00 <br /> e-' <br /> t <br /> -VOTES. . <br /> Notify the San Joaquin Local ` <br /> Health District of any <br /> corrections or change.- <br /> . f <br /> necessaryYour permit will <br /> be mailed upon receipt. of <br /> PaymAt and approval of J . <br /> faciiit.y . <br /> Return payment along with cne <br /> cop9 of this statement. tot <br /> SAN JOAt!tITN LOCAL HErLTH DISTRICT <br /> ENVIRONMENTAL HEALTH PERNITISERVICES <br /> P'T WX 2003 <br /> {: TON, CA 95201 <br /> alt.ies will be added after <br /> L' <br /> due date as shown: <br /> 30 days - 100% of Base Fee <br /> a <br /> All: <br />