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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P.O. Box 2009 <br /> Stockton, CA 35201 <br /> (209) 468-3425 <br /> Jo9i Khanna, M.D. , Health Officer <br /> DONDE 19 <br /> FRANK DONDERO FRANK DONDERO <br /> <br /> STOCKTON, CA 9520S <br /> Billing Statement For 1989 Permit, Underground Tank Facility. <br /> Statement Date July i, 1983 <br /> Payment Due Date: August 1 , 1389 <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 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 PERMITISERVICES <br /> P.O. BOX 2009 . <br /> STOCKTON, CA 35201 <br /> Penalties will be added after <br /> due date as shown; <br /> 20 days - 100% of ease Fee <br />