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. �•.`�`"�4 ` SAN JOAQUIN LOCAL ,ALT <br /> ' .T <br /> r - • 16ii1 E. Hazelton Ave. . F. i. <br /> < < -tock tom, CA $S20! <br /> o ? t �� Ji,gi Khanna, M;D: , He„ of;i cer <br /> SARALi69 <br /> NM/ I9, f <br /> NEW STONE CORPORATION, N.W. SARALE FARMS <br /> X146; F,y <br /> <br /> STOCKTON, CA 95206 •�cFF9( <br /> Edi l l ing ' t.aternent. For 198'9 Permit , UndergTound Tank Facility. <br /> Statement Date .1ulr 1 , 1'9$9 <br /> Fc�Rmea+ u�:fiat.e: Augus3t-1, i9a-q_ t �_ >,_ __L. _,• .- �_r�., ,_ ..,, "+ <br /> Facility Fee; 100.00 <br /> Container Number: 000! 50.00 <br /> TOTAL FEES DOE $150.00 <br /> NOTES: <br /> Notify the San Joaquin Local <br /> r <br /> Health District of any <br /> corrections or changes <br /> necessary . Your permit will <br /> be mailed upon receiptof <br /> payment and approval of <br /> facility . <br /> Ret.u'pn pnyment along with one <br /> copy of.,this statemeOrt to: <br /> SAN IOAQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> Y <br /> P.0. BIx 20013 <br /> STOCKTON, CA 95101 <br /> Penalties W111 be added after <br /> due date as shown: <br /> 0 days - lUG% of Erase Fee <br /> yJ. <br />