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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1501 E. Hazelton Ave. , P.O. Box 2009 <br /> Stockton, CA 95201 <br /> (30'9) 468-3435 <br /> Jon Khanna, M.D. , Health Officer <br /> PODESI2 , <br /> JAMES PODESTA -JAMES PODESTA <br /> <br /> <br /> , '_�u�_„T JN, CR 9 . J . <br /> Billing Statement. For 1969 Permit, Underground Tank Facility . <br /> Statement Date ; July 1, 1989 <br /> Payment Due Gate; August. 1 , 1939 <br /> Facility Fee; 100.00 <br /> Container Number ; 0001 50.00 <br /> TOTAL FEES DUE $150.00 <br /> NOTES; <br /> Notify the San Joaquin Local <br /> Health District of any <br /> corrections or changes <br /> necessary . Your permit will <br /> be nailed 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.C. 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 />