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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P. 0. Box 2009 <br /> Stockton, CA 95201 <br /> (209) 466-6781 <br /> Jogi Khanna, M.D. , Health Officer <br /> • MAJOR50 <br /> . <br /> <br /> STOCKTON , CA 95206 <br /> Billing statement for 1981 Permit Underground Tank Facility. <br /> Statement Date: May 8 . 1987 <br /> Due: June 8 , 1987 <br /> Facility $ 100 <br /> Container d Status <br /> 1 A 50 <br /> Subtotal of permit fees: $ 150 <br /> Additional Billings or Credits <br /> 5 _ <br /> TOTAL FEES DUE : $150. 00 <br /> Penalties will be added Notify the San Joaquin Local liealth District <br /> after due date as shown : of any corrections or changes necessary. <br /> Permit will be mailed upon receipt of payment <br /> and approval of facility. <br /> 30 days - 100% of Base Fee Return payment along with one copy of this <br /> statement to: <br /> San Joaquin Local Health District <br /> Environmental Health Permit/Services <br /> A - Active P. 0. Box 2009, Stockton , CA 95201 <br /> Tt - Tewporary Clo�ut <br /> PI Prr'^.fnrn' ( 10 <br />