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SAN JOAfQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P.O. Box 2009 <br /> Stockton, CA 95201 <br /> (209) 468-3425 <br /> Joai Khanna, M.D. , Health Officer <br /> JAMES <br /> <br /> 103 W. ELEVENTH <br /> TRACY, CA 95476 <br /> Billing Statement For 1988 Permit, Underground Tank Facility. <br /> Statement Date .January 1S, 1988 <br /> Payment Due Date; February i5, 1988 <br /> Previous Balance 100.00 <br /> Facility Fee; 100.00 <br /> Container Number: 0001 50.00 <br /> 0002 50.00 <br /> 0003 50.00 <br /> 0004 50.00 <br /> TOTAL FEES DUE - $600.00 <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 PERMIT/SERVICES <br /> P.O. BOX 2009 <br /> STOCKTON, CA 95201 <br /> Penalties will he added after <br /> due date as shown: . <br /> 30 days - 100% of Base Fee <br />