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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P.O. Box 2049 <br /> Stockton, CA 95201 <br /> (209) 468-3425 <br /> Jogi Khanna, M.D. , Health Officer <br /> MEAD012 <br /> CLOVER MEADOW DAIRY CLOVER MEADOW DAIRY <br /> <br /> ESCALON, CA 95:324 <br /> Billing 'statement For 1589 Permit, Underground Tank Facility . <br /> Statement Date July 1, 1589 <br /> Payment Due Date; August. 1 , 1989 <br /> Facility Fee; 100.00 <br /> Container Number: 4041 50.40 <br /> 4002 50.40 <br /> TOTAL FEES DUE $204.00 <br /> NOTES; <br /> Notify the Sar. 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 tot. <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> P.O. BOX 2005 <br /> STOCKTON, CA 95201 <br /> Penalties will be added after <br /> due date as Shown; <br /> 30 days - 100% of Base Fee <br />