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i <br /> SAN JOAQUIN LOCAL HEALTH DIS('RIC:T <br /> I601 E. Hazelton Ave. , F.O. Box 2009 <br /> Stockton, CA 95201 <br /> (209) 468-342.5 <br /> J091 Khanna, M.D. ; Health Officer <br /> STOCCITY <br /> <br /> <br /> STOCKTON, CA 95217 <br /> Bill" Statement FOP 1.18 Permit., Underground lank Facility. <br /> Statement Date : January 15, 1988 <br /> Payment Due Date; February 15, 1988 <br /> Facility Fee; 100.00 <br /> Container Number; 0001 50.00 <br /> TOTAL FEES DUE $150.00 <br /> NOTE'S <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 /> STAN JOAQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> P.O. BOX 2009 <br /> STOCKTON CA 95201 <br /> Penalties will be added after <br /> due date as shown; <br /> 30 Gays - 100% of Base Fee <br />