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y <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 161.1 E. Hazelton Ave. , P.O. Box 2009 <br /> Stockton, (:A 95201 <br /> i20q) 46;-:=4'25 <br /> Jogi Khanna, N.D. , Health Officer <br /> SHERW57 <br /> <br /> <br /> STOCKTON, CA 9s207 <br /> lilting Statement For 1:189 Per-miti Underground Tank Facility. <br /> 'statement. Date January 1 ; <br /> F'aytilent Due Date; February 1 , 1989 <br /> Facility Fee; 100.00 <br /> Container Number: 0001 50.011 <br /> 0001 50,00 <br /> 00031 50,00 <br /> TOTAL FEES DUE $250.00 <br /> IOTES: - <br /> Notify the ';an Joarjuin Local <br /> Health District of any <br /> Corf�ectiorls or chan-:Ies <br /> necessary . Your ,r+e'rmit. Will <br /> be trailed Upon receipt of . <br /> paymentand approval of <br /> facility . <br /> Return payment: along with one <br /> copy of this statement to! <br /> SAN J iAGU1N LOCAL HEAL <br /> "tH DISTRIC:1 <br /> ENVIRONMENTAL HEALTH PERNI'USERVIC:ES <br /> P.O. BOX 2009 <br /> STOCKTON, CA 95201 <br /> Fe.-naities 'gill be added after <br /> due date as shown: <br /> 30 daY5 - 100% of rase Fee <br />