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SAN JOAQUIN LOCAL HEALTH DISTRICT C F IV F-D <br /> 1601 E. Hazelton Ave. , P.O. Box 2009 <br /> Stockton, CA 95201 JAM 10 1V� <br /> (209) 468-3425 <br /> Jogi Khanna, M.D. , Health Officer <br /> PEP ,MITISEKVICES <br /> ENTA&KALTH <br /> CNV <br /> KELLE49 <br /> C. KELLEY C. KELLEY TRUCKING <br /> 4969 E. . WATERLOO RD 4969 E. WATERLOO RD <br /> STOCKTON, CA 95205 STOCKTON, CA 9S20S <br /> Billing Statement For 1989 Permit, Underground Tank Facility . <br /> Statement Date January 1, 1989 <br /> Payment Due Date; February 1 , 1989 <br /> Facility Fee: 100.00 <br /> Container Number; 0001 50.00 <br /> 0002 50.00 <br /> TOTAL FEES DUE $200.00 <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 of <br /> payment and 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. BOX 2009 <br /> STOCKTON, CA 95201 <br /> Penalties will be added after <br /> due date as showni <br /> 30 days - 100% of Base Fee <br />