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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1.601 E. Hazelton Ave. , P.O. Box. 2009 <br /> Stockton, CA 95201 <br /> (209) 468-3425 <br /> Jagi Khanna, M.D. , Health Officer <br /> CGSEN20 <br /> AS ENTERPRISES CGS ENTERPRISE'= <br /> 20509 N. RIPON ROAD 20601' 14 $IAVW POND <br /> RIPON, CA 5..:356 RIPON, CA 95366 <br /> Billing Statement. For 1`985 Permit, Underground Tank Facility , <br /> Statement Date July 1, 1989 <br /> Payment Due Date; August. 1 , 1989 <br /> Facility Fee; 100.00 <br /> Container Number: 0001 50.00 <br /> TOTAL FEES DUE - $150.00 <br /> NOTES: <br /> Notify the Sar, Joaquin Local <br /> Health District of any <br /> corrections or changes <br /> necessary. Your permit will <br /> be mailed upon receipt of <br /> payment arra 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 PERMIT/SERVICES _ <br /> P.O. BOA; 2005 <br /> STi iCKTON, CA 55201 <br /> Penalties will be added after <br /> due ,:late as shown:' <br /> 00 days - 100% of Base Fee <br />