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fir' 1%ed <br /> SAN JOAfQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P.O. Box 2009 <br /> Stockton, CA 55201 <br /> (209) 468-3425 <br /> Jogi Khanna, M.D. , Health Officer <br /> BJJC075 <br /> <br /> <br /> TRACY, CA 35376 <br /> Billing Statement. For 19:8 Permit., Underground Tank Faci1ivy . <br /> 'Statement Date . January 15, 1988 <br /> Payment Due Crate, February I5, 1988 <br /> Previous Balance 150.00 <br /> Facility Fee: 100.00 <br /> Container Number: 0001 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 payrient along with one <br /> copy of this statement to: <br /> SAN JOAQU1N LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICE-S <br /> P.O. BOX 2005 <br /> STOCKTON, CA 9:201 <br /> Penalties will be added after <br /> due date as shown: <br /> 30 days - 100% of Ease Fee <br />