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SAN IOAQ," '1 LOCAL HEALTH DISTRICT <br /> 1601 t. *po6 l ton Ave. , H.O. ESov.. 200'9 40 <br /> Stockton, CA •+5201 <br /> 209 3 468-3425 <br /> jogi Khanna, M.1i. , Health Officer <br /> SJJC07-S <br /> Bi.J Co. , INC:. BJ t CO. , INC. <br /> <br /> TRACY, 'CA 95376 <br /> Billing Statement. For 1'909 Permit, Underground Tank: Facility . <br /> Statement. Oate , January 1, 1989 <br /> Payment Due Date; February 1, 1989. <br /> Facility Fee: 100.CK) <br /> Container Number; O O1 SO.QU <br /> TOTAL FEES OUE $1SO.00r <br /> NOTE:;; <br /> Notify the 'can joaquin Local <br /> Health District. of any <br /> correct.ionS Or changes <br /> necessary . Your permit will <br /> he 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 LOr AL HEAL" U:ic;TR1C:C <br /> ENVIRONMENTAL HEALTH PERMIT/SERVIC:ES <br /> P.O; BOX 101011; <br /> STOCUI ON, CA '95'"2'01 <br /> Penalties will tie added after <br /> due_ date as 5howi t-1; <br /> 30 days - 1t10% of Base Fee <br />