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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P.0 Box 2009 <br /> Stockton, CA 95101 <br /> (209) 468-:3425 <br /> Jogi Khanna, M.D. , Health Officer <br /> CAL TRANS CALYR84 <br /> 845 E. PINE STREET CAL TRANS - L001 MAINTENANCE <br /> LODI, CA 95240 6.4S E. PINE <br /> 11301, CA 95240 <br /> Billing St.at.err,ent For 1988 Permit, Undergrounci laink: Facility. <br /> Statement Date January 15, 19.3;3 <br /> Payment Due Date; February 15, 19;;8 <br /> Facility Fee: <br /> Container Number : 0o0i <br /> 0002 Lj <br /> TOTAL FEES OUE $200 C - <br /> NOTES; '----_--_ <br /> Notify the San Joaquin Local <br /> Health District of any <br /> corrections or Ci,ai:ge5 <br /> necessary. Your pero:it will <br /> be mailed upon receipt C'f <br /> Payment and approval or <br /> facility. <br /> Return payrient. along wit. ' one <br /> COPY of this statement to; <br /> SAN JOAQUIN LOCAL, HEALTH DISTRIt`f <br /> ENVIRONMENtTAL HEALTH PERMIT/^SERVICES <br /> P.O. BOX 1009 <br /> STOCKTON, CA 95201 <br /> F'Pn&2t.ie5 will t:e added after <br /> due date <br /> _s shown: <br /> s0 days - 190% of Base Fee <br />