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I ""�.`:• "+n:s.r ...o-4 <br /> SAN 7OAQUIN LOCAL HEALTH DISTRICT <br /> 1501 E. Hazelton Ave. , F.O. Box <br /> 2009 <br /> :;tacliton, C'A,. ' S20.1. <br /> (209) 468-342.5 <br /> 3ogi Khanna, M.O. , Health Officer <br /> SOCIETY FOR CHRISTIAN INSTRUC. OCIE43 <br /> 4:=5 N. MAPLE SOCIETY FOR CHRISTIAN INSTRUC. <br /> RIPON, C:A 95336 4:_5S N. MAPLE <br /> RIPON, CA '35335 <br /> Bi i l ing `ot.at.ernent. For. 191' Perrin t, Underground Tank Facility. <br /> Staterilent, [late July 1, 1989 <br /> Payment. Due Date; August 1 , 198-3 <br /> Facility Fee; 100.00 <br /> Container Number; 0001 SO.00 <br /> TOTAL FEES DUE <br /> X150.00 <br /> NOTES; <br /> Notify the ;can Joaquin Local <br /> Health District of any <br /> corrections or changes <br /> necessary . Your permit will <br /> be mailed upo;i receipt. of <br /> Payment and approval of <br /> facility. <br /> Return payment along with one <br /> copy of this statement. ppto: <br /> SAN t'OAQUIN LOCAL HEALTRI DISTRICT <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICE': <br /> P.O. BOX 2009 <br /> STOCKTON, C:4 95201 <br /> Penalties will be added if t.ef` <br /> due date as shown; <br /> 3i,; days - 100: of Base Fee <br />