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jA <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT r{ECEIVE C E I V ' <br /> ED <br /> 1601 E. Hazelton Ave. , P.O. Box 2005 <br /> Stockton, CA 96201 JUN 1989 <br /> (209) 463-3425 <br /> Jogi Khanna, M.D. , Health Officer ENVIRONMENTAL HEALTH <br /> PERMITISERVICES <br /> MEMMA33 <br /> MEM MASONRY, INC. MEM MASONRY, INC. <br /> 395 INDUSTRIAL WAY of MAXWELL ST, <br /> DIXON, CA 95620 LODI, CA 9524.0 <br /> Billing Statement. For 1989 Permit, Underground Tank Facility. <br /> Statement Date : January 1, 1939 <br /> Payment Due Date: February 1, 1989 <br /> Facility Fee. 100.00 <br /> Container Number; 0001 50.00 . <br /> TOTAL FEES DUE $150.()u- <br /> NOTES; <br /> 150.00NOTES; <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 shown: 4 FEg 1 <br /> 30 days - 100% of Base Fee <br />