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... PAYMENT <br /> RECEIVED <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P.O. 8o>i 2009 JAN 12 1933 <br /> Stockton, CA 95201 <br /> (209) 466-0425 ENVIRONMENTAL HEALTH <br /> Jogi Khanna, M.D. , Health Officer PERMIT/SERVICES <br /> WDA+DC68 <br /> CLA!DE C. WOOD COMPANY C:LAUDE C. WOOD - MAIN '=HOF' <br /> P. O. BOX 599 686 E. LOCKEFORD <br /> LODI, CA 95241 LODI, CA 95240 <br /> ji l l inq Statement For 1989 Permit., Underground Tank Facility . <br /> Statement. Date January 1, 1989 <br /> Payment Due Date; February 1 , 1989 <br /> Facilit'y +eei 100.00 <br /> Container Number: 0001 50.00 <br /> 0002 50.00 <br /> TOTAL FEES DUE 8200.00 <br /> 4OTES: <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 PERMITGERVICES <br /> P.O. 807. 2009 <br /> STOCKTON, CA 95201 <br /> Penalties will be added after <br /> due date as shown: <br /> 30 days - 100% of Ease Fee <br />