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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. . P.O. Bax 2009 <br /> St•odao-, CA 94201 <br /> (20.3) 468-:3425 <br /> Jo'gi Khanna, M.D. , Health Officer <br /> ROTOR34 <br /> ROTO-ROOTER ROTO-ROOTER <br /> P O BOX 550 3480 E. CARPENTER <br /> STOCKTON, , CA 95205 STOCKTON, CA 95205 <br /> 3i l 1 ing Statement. For 1989 Permit., Underground Tani: Facility . <br /> Statement Date .January 1 , 1539 <br /> Payment. Due Date: February 1 , 1989 <br /> Facility Fee; 100.00 <br /> Container Number; 0001 50.00 <br /> 0002 50.00 <br /> TOTAL FEES DUE $200.00 <br /> NOTES: <br /> Notify the _,an Joaquin Local <br /> Health District of any <br /> Sorrectio s or changes <br /> necessary . Your permit. will <br /> be mailed upon receipt of ,�IY <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 PERMITfSERVIC:E'S <br /> P.O. BOX 2009 <br /> STOCKTON, CA 95201 <br /> Penalties will be added after <br /> due date as shown! <br /> 30 days - 100% of Base Fee <br /> v <br />