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SAN JOAQ*LOCAL HEALTH DISTRICT i <br /> 1601 E. Hazelton Ave,. , P.O. Boa: 2009 <br /> Stockton, CA 96201 <br /> (209) 468-3425 <br /> 3ogi Khanna, M,D:, Health Officer <br /> CGSEWO <br /> CGS ENTERPRISES CGS ENTERPRISES <br /> 20509 N. RIPON ROAD 20509 N. RIPON ROAD <br /> RIPON, CA 95366 RIPON, CA 35366 <br /> Billing Statement For 1989 Permit., Underground Tank Facility. <br /> Statement Date August V 1989 <br /> Payment. Die Date; September 1 , 1989 <br /> Previous Balance 56.00 <br /> Facility Fee; 100.00 <br /> Container Number; 0001 50.00' <br /> -- <br /> TOTAL FEES DUE $206.00 <br /> NOTES; <br /> Notify the San Joaquin Local <br /> Health District of any <br /> corrections or changes <br /> necessary . Your permit will <br /> be nailed upon receipt of <br /> payment arra approval of <br /> facility. <br /> Return payment along with one <br /> copy of this statement to; <br /> SAN TOAQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH PERMITISERVICES <br /> P.O. BOY 2005 <br /> l STOCKTON, CA 95201 <br /> Penalties will be added after <br /> due date as shown; <br /> r <br /> 20 days - 100% of Base Fee <br />