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SAN JOtt LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P.O. Box 2009 <br /> Stockton, CA 95201 <br /> (209) 468-3425 <br /> 3ogi Khanna, M.D, , Health Officer <br /> HEUVE24 <br /> JOE HEUVEL JOE HEUVEL <br /> 4369 S. MOHLER ROAD ,_4:iF9 S. MOHLER ROAD <br /> RIPON, CA 95366 RIF+ON, CA 9S366 <br /> Billing St.at.ement. For 1989 Permit., Underground Tank Facility. <br /> St.at.ement Date ; August 1 , 1989 <br /> Payment Due Date; September 1 , 1989 <br /> Previous Balance Ii2.00 <br /> Facility Fee; 100.00 <br /> Container Number; 0001 50.00 <br /> 0002 50.00 <br /> TOTAL FEE:_ DUE $312.00 <br /> NOTES; <br /> Notify the 'an 3oaquIn Local <br /> Health District of any <br /> correctic,ns or changes. <br /> rs'ecessary. Your permit will <br /> be mailed uprr, receipt of <br /> payment and approval of <br /> facility. <br /> Return payment, along with one <br /> copy of this statement to; <br /> SAN .'OAQVIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH PERMITtSERViCES <br /> P.O. BOR 20019 <br /> STOCKTON, CA 95201 <br /> Penalties will tie added after <br /> dile date as shown,; <br /> 30 days - 100% of Base Fee <br />