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:_;tif�i U At:Uli>; LIiCAL H:_r:i.iN _; :c;lhir;.i <br /> 160i E. Hazelton Ave. ;_;ij <br /> Stocktc:n, CA P5201 <br /> (209) 4P1y .3.4_27 <br /> yogi Khanna, 19.U. , He�;ith CiifiCrFr <br /> RALPH <br /> <br /> , IY Y <br /> ling St•ateuien�. For 1989 Permit, Underyrounu "lank Facility. <br /> _�La tiiiR�it:" Uc,to i•.i;<y <br /> Payment Due Date; August . i , 19 ;r+ <br /> F aiLIl i ` <br /> ty _ <br /> '" <br /> Cr.AnVaiiiei' i UF.iOd � <br /> ..----- --- ' <br /> f l tit t:-: DU;_* rte <br /> .J: <br /> JUtity the San Joaquin Local <br /> leaf t ; Distr iof any <br /> re mailed upon receipt of ^" . <br /> ,aymeilt and approval of <br /> acility. <br /> eturn Payment alorn3 witri one <br /> oPY of this statement to <br /> AN JUAQUIN LOCAL HEAL7H L'ISTHli::I <br /> NVIRONMENTAL HEALTH "ct(itIT1ScRViCE:J <br /> D. BOX 2009 <br /> "rOCKVON, CA 95201 <br /> enaities will be added after. <br /> ue Date as shown: <br /> :i days - 100% of Base Fee <br />