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r---�- <br /> SAN J0A0UlN LCICA� HEALIH DISTRTCl <br /> 1601 6. Hazelton �Ve. . P.O. Box 2009 <br /> Stoc��on, CA 96201 <br /> (209) 468-3426 <br /> jogi Khanna, M.D., Hea]th Officer <br /> VANCU32 <br /> VANCO VANCO <br /> <br /> STOCKTUN' [A '95'204 <br /> Bi}liDg Statc-NBnt For 1988 Pepmit, 7ank Fa[ility . <br /> Stateme-nt Date January i5/ 1988- <br /> Payment <br /> 988Payment Due Date| February 1988 <br /> ` <br /> Facility Fee| 0O.00 <br /> Container Nuimber � 0001 5&.0O <br /> 0002 500O <br /> 0003 5000 <br /> TO-AL FEES DUE $260.00 <br /> NOTES; <br /> Notify the Joaquin Local <br /> Health District of any <br /> corrections or �hanges <br /> necessary Ymar permit will <br /> be mailed upcv ?eceipt of <br /> payment and approval of <br /> facility . <br /> Return paym*_nt along with one - <br /> copy of this statement to; <br /> SAN JOAQUlN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> F.U. BOX 2011_�9 <br /> STOCKT0N, CA 9�20� <br /> Penalties will be added after <br /> due date as shownt <br /> 30 days - 100% of Fee <br /> . <br /> ' <br /> �� _ <br />