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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave.A P.O. Box.. 2005 <br /> Stockton, CA 95201 <br /> t2051 468-3425 <br /> Jogi Khanna, M.D. , Health Officer <br /> LAGOM60 <br /> LAGOMARSINO BROS, LAGOMARISO BROS. <br /> 6040 E. MAIN 6040 E. MAIN <br /> STOCKTON, CA 95205 '1 CK'— FON, CA 55205 <br /> Billing Statement For 1989 Permit., Underground Tank Facility . <br /> Statement. Date July 1 , 1989 <br /> Payment. Due Date; August 1 , 1983 <br /> Facility Fee; 100.00 <br /> Container Number, 0001 50.00 <br /> TOTAL FEES DUE $150.00 <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 DI`cTRIC:T <br /> ENVIRONMENTAL HEALTH PERMITISERVIC.ES <br /> P.O. BOX 20Cr+ <br /> STOC:KTON, CA 95201 <br /> Penalties will be added after <br /> due date as shown: <br /> 30 days 100'X of Base Fee <br />