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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P.G. Box 2009 <br /> Stockton, CA 95201 <br /> (209) 468-3425 <br /> Jogi Khanna, M.D. , Health Officer <br /> GHAIRII <br /> <br /> <br /> STOCKTON, CA 95206 <br /> Billing Statement For i986 Permit., Underground Tank Facility . <br /> Statement Date January is, 1983 <br /> Payment Due Date; February 15, 1988 <br /> Facility Fee; 100.00 <br /> Container Number; 0001 50.00 <br /> 0002 WOO <br /> 0003 50.00 <br /> 0004 50.00 <br /> TOTAL FEES DUE $300.00 <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 PERMITISERVICE: <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 />