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SAN JO-')QUIN LOCAL HEALTH DISTRICT <br /> 11-501 E. Hazelton Ave. , P.O. Box 2009 <br /> Sltockton, '(:A 95201 <br /> (209) 46-8-:3425 <br /> Jcl,qi Khanna, M.D. , Health Officer <br /> KELLE49 <br /> C. KELLEY C. KELLEY TRUCKING <br /> 4969 L. . WAIVERLOCI R['t 4969 E. WFC TER"LOO RD <br /> STOCKTON, CA r3S205 STOCA TON, CA' 9S.20S <br /> Billing Staterffent For Permit, Underground Tank. Facility . <br /> State"41ent C"Ate t January IS, 1,363 <br /> Payifient L"';ui.:, Date: February 1.5, <br /> Facility Fee; 100.00 <br /> Container Number: 0001 50.00 <br /> Cj 0 021 S0.00 <br /> FEr_'-iD-* OUE $200.00 <br /> NOTF,- , <br /> hL: .Ilf L.rlt-e Sari Joaquin Local <br /> Health District of any <br /> cori%ectioins or chariges <br /> necessary. Your, permit Will <br /> be mailed upon Peceipt of <br /> payment and approval of <br /> facility. <br /> Return Payiflent alon,; with cine <br /> copy of this statement to: <br /> jOAQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTIA PERMIT/SERVICES <br /> P.G. SOX 2:1009 <br /> STOCKTON. CA 9S201 <br /> Penalties will be addjL-o after <br /> A ue dates as shown! <br /> 30 days -- '1()0% cii Base Pee <br />