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SAN JOAQUIN LOCAL HEALTH DISTRICT2009 <br /> � <br /> 1501 E. Hazelton Ave. , P.O. Box <br /> Stockton, CA 95201 <br /> (209) 45$-3425 <br /> Jogi Khanna, M.D. , Health Officer <br /> ERCARI7 <br /> E.'R. CARPENTER CO. , INC. E. R. CARPENTER CO. , INC. <br /> P. O. BOX 279 1.7100 S HARLAN RD. <br /> LATHROP, CA 95330 LATHROP, CA 953:30 <br /> Billing Statement For 191:3 Permit, Underground Tank Fac.i 1 i tY. <br /> Statement Date : January 15, 1988 - -- <br /> Payment Due Date; x <br /> Facility Fee: 100.00 <br /> Container Number: 0001 50.00 <br /> --------- <br /> TOTAL FEES DUE $150.00 <br /> NOTES-. <br /> Notify the San Joaquin Local <br /> Health District of any <br /> corrections or changes <br /> � ��� <br /> necessary- Your permit will YN <br /> be mailed upon receipt of 5 <br /> payment and approval of VA'4kR0Wj �y1C- <br /> �E1-Ij51:tt <br /> facility. <br /> Return pay€rEent 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 Ease Fee <br />