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` <br /> - <br /> n <br /> SAN J0AQKIN LOCAL HEALTH DISTRICT � <br /> 1601 E. Hazelton Ave. , P.O. Box 2009 <br /> Stockton, CA 96201 <br /> (209) 468~3425 <br /> jog| Khanna, M.D. / Health Officer <br /> MCITE28 <br /> MC[ TELFC0MMUNlCATIN8/ CORP MCI TELECOMMUNICATIONS CORP. <br /> <br /> TRACY/ CA 9S376 � <br /> Billing Statement For 1989 Permit. Underground Tank Facility . ' <br /> Statement Date January 1 ` 1989 <br /> Payment Due Date; February 1 / 1989 <br /> Facility Fee: 100.00 <br /> Container Number : 0001 SO.@} <br /> TOTAL FEES FBS DUE $160.00 <br /> NOTEW ^ <br /> Notify the San Joaquin Luc6l <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 /> faci}ity . � <br /> ' <br /> Return payment along with one <br /> copy of this statement to: <br /> �SAN J0A�UIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES ' <br /> P.0 8[|X 2009 <br /> ST0CKT0N/ CA 95201 <br /> Penalties will be added after <br /> due date as shnwn� <br /> 30 days ~ 100% of base Fee <br /> ` ^ <br /> � <br /> ` <br /> ` <br />