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t,.JIN LOCAL HEALTH DISTRICT <br /> • Hazelton Ave. , P.O. Box 2005 <br /> Stockton, CA 95201 <br /> (209) 468-3425 <br /> ,ogi Khanna, M.D. , Health Officer <br /> PASMAII <br /> _RS, INC. PASMA BROTHERS, INC. <br /> PAS -NUT 113 N. WALNUT <br /> ll,_% 95366 RIPON, CA 95:366 <br /> F <br /> Statement For 1988 Permit, Underground Tank Facility. <br /> Statement Date January 15, 1988 <br /> Payment Due Date: February 15, 1988 <br /> Previous Balance 512.00 <br /> Facility Fee: 100.00 <br /> Container Number: 0001 50.00 <br /> 0002 50.00 <br /> TOTAL FEES DUE $712.00 <br /> NOTES: <br /> Notify the San Joaquin Local <br /> Health District of any <br /> corrections or changes <br /> necessary. Your permit will <br /> be mailed upon receipt ofj/ , � <br /> Payment and approval of <br /> facility. k CQu<e �Gc o <br /> Return payment along with ones 4V r off- <br /> . <br /> copy of this statement to: �PQ�f w/yam ae4lrx� <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT yLe <br /> ENVIRONMENTAL HEALTH PERMITISERVICES l4 �� U ! <br /> P.O. BOX 2009 O <br /> STOCKTON, CA 95201 « <br /> Penalties will be added after <br /> due date as shown: <br /> 30 days - 100% of Ease Fee <br />