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SAN JOAkUIN LOCAL 'HEALTH DISTRICT <br /> 1501 E. Hazelton Ave. , R.Q. 8c": 2009 <br /> Stockton, CA 95201 <br /> (209) 468-3425 <br /> -Jogi Khanna, M.D. , Health Officer <br /> ANDER21 <br /> WILLIAM C. ANDERSON WILLIAM C. ANDERSON <br /> <br /> LINDEN, CA 0 <br /> Billing Statement. For 1989 Permit., Underground Tank Facility. <br /> Statement Date July 1 , 1989 <br /> Payment Due Date: August 1 , 198.9 <br /> Facility Fee; 100.00 <br /> Container Number; 0001 50.00 <br /> TOTAL FEES DUE $150.070 <br /> NOTES: <br /> Notify the San Joaquin Local <br /> Health District of any <br /> corrections or changes <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 JOAQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> P.D. BOX 2009 <br /> STOCKTON, CA 95201 <br /> Penalties will be added after <br /> due date as shown: <br /> 30 days - 100'0 Fee <br /> /911 # <br />