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SAN VOAQ61N LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave, , P.O. Q 2009 <br /> Stockton, CA 95201 <br /> (209) 468-3425 <br /> jbgi Khanna, M.D. , Health Officer <br /> i i{iii 021� .. <br /> ERNEST POW <br /> ERNEST POW <br /> 24100 8. LAMMERS ROAD 21100 R 1AMIERR SAO) <br /> TRACY, CA 98376 TRACYj CA 70-37-IG <br /> Billing W -+'C:m_nt For ' 1989 Permit, Underground Tank Facility, <br /> Flyment Due Date:' August 1 , 19y <br /> Facility Fee, CH) <br /> Container Number ; 0001 so.01C) <br /> 0002 ji}2 S .0_: <br /> TOTAL EES Li_IC W0.00 <br /> 113 T E._. <br /> Notib the San joaquin Local <br /> Health Distpict of any <br /> corrections or changes <br /> necessary . your permit Wili <br /> be mailed upon receipt of <br /> Payment and approval of <br /> Return-payment along with one <br /> copy of this statement tol <br /> SAN jOAQUIN LOCAL HEALTH 'LQ5--'-TR1CT <br /> ENVIRONMENTAL HEALTH,LTH PCT;:'I: z/ST_i'.tICES <br />