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SAN JOAQUI40*..£ICAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P.O. Box 2009 <br /> Stockton, CA 96201 <br /> (209) 463-3425 <br /> Jow Khanna, M.D. , Health Officer <br /> PA, <br /> <br /> <br /> TRACY, £u 27v <br /> ZQ60) <br /> on : iog s .otemeni. For i989 Permit, Underground Tank Facility. <br /> vap AW, <br /> 168 QQ <br /> ravl . iv; C- : <br /> 1ov.00 <br /> contm 0, 50-00 <br /> 50.00 <br /> 50.00 <br /> VOW FEES DUE $418.00 <br /> Noftn � <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 /> ntupn Psymen, along wito one <br /> . n i, 0 : i Javement to: <br /> SAN jOAQUIN LUCAL HEALTH UIPIR10 <br /> ENVIRONMENTAL HEALTH PERMIT/SEW.- <br /> P.W BOX 2009 <br /> STOCKTON, CA 95201 <br /> vnoamw, will be added of ter <br /> due v0s ±o shown� <br /> 30 omys - WOZ of Base Fee <br /> Tanks removed in 1987 See form attached <br />