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SAN JC,A:,� LOCAL HEALTH DISTRICT <br /> 1501 E. Hazelton Ave. , P.O. Box 2009 <br /> Stockton, CA 95201 <br /> (209) 468-3425 <br /> Jogi Khanna, M.G. , Health Officer <br /> MACHA21 <br /> MANUEL J. MACHADO, INC. MANUEL J. MACHADO, INC. <br /> P.O. BOX 335 21471 N. ATKINS <br /> LOCKEFORD, CA 95237 LOCKEFORO, CA 9S237 <br /> Billing St.at.ement. For 1989 Permit., Underground Tank Facility . <br /> Statement Date August 1 , 1989 <br /> Payment Due Gate; September 1 , 1989 <br /> Previous Balance 56.00 <br /> Facility Fee: 100.00 <br /> Container Number; 0001 SO.00 <br /> TOTAL FEES DUE $200 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 PERMITlSERVICES <br /> P.O. BOX 2009 <br /> STOCKTON, CA 95201 <br /> Penalties will be added after <br /> due date as shown: <br /> 30 days - 100% of Base Fee <br />