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AN JUAQUIN LUCAL HEALTH U1STR1( <br /> `r,01 E . Hazelton Ave. , P.O. Box 1T,b9 <br /> Stockton , CA 95201 <br /> (209) 468 3425 <br /> Jogi Khanna, M.D. , Health Officer <br /> RALPHI7 <br /> RALPH & J.M. NELSON RALPH & J.M. NELSON <br /> <br /> MANTECA, CA 95336 <br /> Billing Statement for 1988 Permit, Underground Tank Facility:copy <br /> Statement Ddte: MARCH 1, 1988 <br /> Payment Due Date: March 31, 1988 <br /> PREVIOUS BALANCE : 356.00 <br /> FACILITY FEE: 100.00 <br /> CONTAINER NUMBER: <br /> 0001 50.00 <br /> TOTAL FEES DUE: $506.00 <br /> NOTES: <br /> Notify the San Joaquin Local Health District of any corrections or changes <br /> necessary. Your permit will be mailed upon receipt of payment and approval <br /> of facility. <br /> Return payment along with one 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 due date as shown : 30 days - 100% of Base Fee: <br />