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z <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1501 E. Hazelton Ave. , P.O. Box 2009 <br /> Stockton, CA 9 201 <br /> (209) 468-3425 <br /> Jogi Khanna, M.D. , Health Officer <br /> ENGINII <br /> CITY OF :OTOCKTON ENGINE COMPANY # <br /> 425 N. FL DORADO STREET 110 W. SONOR'A :.TREE i' <br /> STOCKTON, , CA 9520 LTOCKTt�N, f CA y520: <br /> t-atement For 1''68 Per•tfl i t, Underground Tank Facility. <br /> Statement Date Januarys 15, 1988 <br /> Payment. Due Date: February <br /> Facility Fee: W().()0 <br /> Container Number,. 0001 60.00 <br /> 0001-1 F�i) ()0 <br /> 01003 <br /> Ti-II AL FEE:; DUE $:3rjri 0A <br /> NOTES*:NOTES*: <br /> No'k-i y the ',an Joaquin Local <br /> Health District of any <br /> copr ectlo-os or chan'�es <br /> necessary . Your permit will <br /> be rrtai1ed upon receipt of <br /> Payr:trent and approval of <br /> facility. <br /> Return payment along with one <br /> copy of this statement to: <br /> 'LAN JCiAQUIN LOCAL HEALTH DIS'TRIC'T <br /> ENVIRiINMENTAL HEALTH PERMIT/SERVICE,:-5, <br /> P.O. DC tX 2009 <br /> S T OCKTON, C=A 95201 <br /> Penalties will be added after <br /> due date as shown: <br /> 1:0 days 100% of Ease Fee_ - - <br />