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iN JOAQUIN LOCAL HEALTH DISTRICT,/ <br /> '~61 E Hazelton Ave. , P.O. Box 2009 <br /> Stockton, Ca. 95201 _ <br /> Jogi Khanna, M.D. ,M.P.H. Health Officer <br /> (209) 468-3422 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PERMIT SERVICE: <br /> SAN JOAQUIN COUNTY <br /> PARKS & RECREATION <br /> 4520 W EIGHT MILE RD ; <br /> S1OCK"tON, CA 95209 <br /> PARKS50 <br /> RE: Underground Tank Facility located at.: 500 W HOSPITAL RD FRENCH CAMP,CA <br /> Billing for_ --------- fees for Permit to operate. <br /> Statement. Date MARCH 29, 1989 <br /> Payment Due Date APRIL 29, 1989 <br /> Facility Fees: 1989 <br /> $ 100.00 <br /> Container Number ; <br /> Tank 0001 50.00 <br /> Tank 0002 <br /> Tank 0003 <br /> Tank 0004 <br /> State Surcharge <br /> Fee; Tank 0001 56.00 <br /> Tank <br /> Tank <br /> TOTAL FEES DUE; 4 '206.170 ------- <br /> If you have any changes or- <br /> correctiors please call our <br /> office immediately upon reciept j <br /> of this statement. <br /> Penalty 's will be added after the <br /> due date as shown: <br /> 30 - days at 100% of base fee; <br />