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SAN JOAC,+�LOC:AL HEALTH DISTRICT � <br /> 1601 E. Hazeiton Ave. , P.D. Box 2009 <br /> Stockton, CA 9520i <br /> (209) 468-3422 <br /> Joy Khanna, M.L+. , Health Officer <br /> SEIFE86 <br /> SEIFERT DAIRY FARM SEIFERT DAIRY FARM <br /> 8505 E. COLLIER ROAD 850.5 E. COLLIER ROD <br /> ACAMPO, CA 95220 ACAMPO, CA 95220 <br /> Billing Statement• For 1989 Permit., Underground Tank Facility , <br /> Statement Date ; August 1 , 1989 <br /> Payment Due Date; September 1 , 1989 <br /> Previous Balance 112.00 <br /> Facility Fee: 100.00 <br /> Container Number; 0001 50.00 <br /> 0002 50.00 <br /> TOTAL FEE'S DUE $312.00 <br /> NOTES; <br /> Notify the San Joaquin Local <br /> Health District of any <br /> corrections or changes <br /> - <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 JOACUIN 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 /> 20 hays - 100% of Base Fee <br />