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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P.O. Box 2079 <br /> Stockton, CA 95201 <br /> (209) 468-342S <br /> Jogi Khanna, M.D. , Health Officer <br /> HAYE310 <br /> <br /> <br /> TRACY, CA 95376 <br /> Filling 'Statement. For 1989 Permit., Underground Tank Facility . <br /> Statement. Date August. 1, 19: 9 <br /> Payment Due Date: September 1 , 1989 <br /> Previous Balance 158.00 <br /> Facility Fee; 100.00 <br /> Container Number; 0001 50.00 <br /> 0002 50.00 <br /> 0003 SO.00 <br /> TOTAL FEES DUE $418.00 <br /> NOTES: <br /> Notify the San Joaquin Local <br /> Health District of any <br /> corrections or charges r <br /> necessary . Your permit will <br /> be mailed upon receipt of <br /> payment and approval of <br /> facility . <br /> Return payment along with one <br /> copy of this statement to: <br /> SAN jOAQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> P.O. BOX 2009 <br /> STOCKTON, CA 95201 <br /> Penalties will be added after <br /> due date as shown: <br /> 30 days - 100% of Base Fee <br />