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SAN jOAC!UIN LOCAL HEALTH DISTRICT <br /> 1501 E. Hazelton Ave. , P.O. Box: 2009 <br /> Stockton, CA 95201 <br /> (209) 453-3425 <br /> Jogi Khanna, M.G. , -Health Officer <br /> J.M. MAHIN etal CLEMEI5 <br /> 1275 CREEK,SIDE DR . BOB CLEMENTS <br /> WALNUT CREEK, CA 9454615050 MURPHY RD <br /> ESCALON, CA 94546 <br /> Billing Statement For 1988 Permit, Underground Tank Facility. <br /> Statement Date April li payment Due Due Date; May i1 , 10=e8_- . <br /> n TOTAL FEE:; DUE $712 0i: <br /> NOTES; <br /> Notify the San VagUi i Local <br /> Health District of .any <br /> corrections or changes <br /> necessary . Your pe'rriit will <br /> be trailed upon receipt of <br /> Payment and approval of <br /> facility . <br /> Return; Payment along with one <br /> fond -i this stara.ment to <br /> SAN ri IN LOCAL HEALTH DISTRIO-i <br /> ENVIRONMENTAL HEALTH rERm1T/3EPvLCE.,-: <br /> P.0 BOX 2009 <br /> S OCKT_N CA 9.5201 <br /> 'r'enalt.iBs will be aod,& Ffter <br /> due date as shi awn l <br /> 0 day' - 100% of Base FBe <br />