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SAN JOAQUIN Lot_AL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P.U. Box 2009 <br /> Stockton, CA 0201 <br /> (209) 4VS-3425 <br /> Jogi Khanna, 1'D. , Health Officer <br /> GEORGIC <br /> GEORGE'S SERVICE GEORGE'S SERVICE <br /> 1600 W. DURHAM FERRY hit. 1600 W. .DURHAM FERRY RD. <br /> TRACY, CA 95376 TRACY, CA 95376 <br /> Billing Statement. For 1989 Permit., Underground Tank Facility . <br /> Statement Date January 1989 <br /> payment Due Date: February 1 , 1.989 <br /> Facility Feet 1011.00 <br /> Container Numberi 0001 50.00 <br /> 0002 SO.00 <br /> 0003 50,011) <br /> 0004 34 ..OO <br /> TOTAL FEES DUE $300.00 <br /> NOTES! <br /> Notify the ban Joaquin Local <br /> Health District of any <br /> corrections or changes <br /> necessary . Your permit will <br /> be !hailed upon receipt Of <br /> payment and approval of <br /> facility • <br /> Return payment along with one <br /> tory of this statement to; <br /> SAN JOA(fU1N LOCAL HEALTH DISTRICT <br /> ENVIRONMEiNTAL HEALTH PERMIT/SERVICES <br /> P.O. BOX 2009 <br /> STOCKTON, CA 95201 <br /> penalties will be added after <br /> due date as shown) <br /> SO days - 100i of Base Fee <br /> A <br />