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jOAQUIN LOCAL HEALTH DISTRICT PAYMENT <br /> 1601 E. Hazelton Avy , p,O, Box 2009 FZ WE I VIED <br /> Stockton, CA 9620! <br /> "W M.D. , Health officer <br /> ENVIRONMENTAL HEALTH <br /> RISSO ELECTRIC IND RISSOIS PERMIT/SERVICES <br /> 1502 N. PALM AVENUE RISSO ELECTRIC IND. <br /> STOCKTONj CA 900S 1502 N, PALM AVENUE <br /> STOCKTON, CA 9520S <br /> Wiling Statement For 1989 ,,it, Underground Tank Facility. <br /> Statement Date january 11 1989 <br /> Paysent Due Date; February 11 1989 <br /> Facility Fee, 100,010 <br /> Container Number: 0001 60.00 <br /> Notify the San J0aquin Local | <br /> Health District of any <br /> corrections or changes <br /> necessary. your permit will <br /> be mailed upon receipt o/ <br /> Payment and approval of <br /> facility. <br /> Return Payment along with one <br /> copy of this statement to� <br /> SAN JOAAUlN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> P-O. BOX 2009 <br /> STOCKTON' CA 9520l <br /> Penalties will be added after <br /> due date as shown/ <br /> 30 days - 100% of Base Fee <br /> �� �� <br />