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• SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 401 E. Hazelton Ave. , P.O. Box 2009 <br /> Stockton, CA 95201 <br /> (20'9) 462-3425 <br /> A <br /> Jogi Khanna, M.D. , Health Officer <br /> GELC041 <br /> A„ i;"G }PI AL V�NTtJRE h1TERPRISE` CAPITAL VENTURE ENTERPRISES <br /> <br /> STOCKTON, CA 95204 <br /> Billing Statement For 1989 Permit, Underground 'tank: Facility . <br /> Statement Date January 1 , 1989 <br /> Payment Due Date; February <br /> Facility Fees Ibo.Uo <br /> TOTAL FEES DUE $ioo.uO <br /> NO[L_. REGE�vED <br /> Notify the San Joaquin Local b 1933 <br /> Health District of any [�pR <br /> corrections or changes HEALTH <br /> necessary . Your. permit. will '41 <br /> will <br /> be mailed upon receipt. of �N PERMIT�SERV <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 9S201 <br /> Penalties will be added after <br /> due date as shown; <br /> 30 days 100% of Ease Fee <br />