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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> i J1 E. Hazeit.on Ave, , P,O. tir,X Lt)C)v <br /> Stockton, CA 9'201 <br /> i209j 463-:342S <br /> Khanna, M.D. Health Clff icer <br /> CONTI17 <br /> CONTINENTAL TELEPHONE COMPANY CONTINENTAL TELEPHONE-MICA WAR <br /> <br /> = MANTECA, CA 95336 <br /> Billing 'Statement For 198,a Permit, Underground lank Facility. <br /> Statement Date . January 1 , 1939 <br /> Payment Due Date; February i , 1`_t 9 <br /> Facility Fee; 100,00 <br /> Container Number, u001 50.00 <br /> 000-2, 50.00 <br /> F h <br /> TOTAL FEES c.a DUE `3°uft.C)U <br /> NOT E'3 <br /> 0% <br /> Notify the 'San Joaquin Local <br /> Health Oist.rictof any <br /> corrections or changes <br /> necessary . Your permit will <br /> be fnailed upon receipt. of <br /> payment and approval of <br /> facility . <br /> Return payment along with one <br /> copy of this statement to; <br /> "AN JON <br /> UIN LOCAL HEALTH DI8Tfi1C:T <br /> ENVIRONMENTAL HEALTH P0iMIT/SERVICES <br /> P.O. BOX 2009" <br /> ',TOCKTON, CA 95201 <br /> Fenalties will be added after <br /> due date as shown; <br /> 30 days 100% of Base Fee <br />