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SAN JOA( LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave„ P.O. Ax 2009 <br /> Stockton, CA 35201 <br /> 12097 460-3425 <br /> JogiK.hanna, M.D. , Health Officer <br /> FRASEIO <br /> ROBERT FRA :ER ROBERT FRASER <br /> 1097 S. DRAI5 ROAD 1097 S. DRAIS ROAD <br /> STOCKTON, CA 35205 STOCKTON, CA 35205 <br /> Billing Stat.eme'nt. For 1505 Permit., Underground Tank Facility . <br /> Statement Date August 1 , 1989 <br /> Payment. Due Date; September. 1, 1989 <br /> Previous Balance 56.00 <br /> Facility Fee; 100.00 <br /> Container Number; 0001 50.00 <br /> TOTAL FEES DUE $206.00 <br /> NOTES: <br /> Notify the San Joaquin Local <br /> Health District of any <br /> corrections or changes <br /> necessary . Your pern'it will <br /> be mailed upon 'ieceipt 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 PERMIT/SERVICES <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 /> I <br /> 6 <br /> l <br /> I <br /> l <br /> " <br /> ---- -- ---- - - - - -- - :` <br />