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---�.�^` {^"'�"c'�`.'l+111• <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P.U. 5o` 2009 <br /> Stockton, CA 95201 <br /> (209) 463-:3425 <br /> Joy Khanna, M.D. , Health Officer <br /> CHEVR 1:3 <br /> CHEVRON USA INC:. #90557 <br /> RONALD P.SANCHE? 1y c,. CENTER <br /> 13.3 n. CENTER STOCKTON, CA 95202 <br /> STOCKTON, CA 95202 <br /> Falling St.at.ement. For 19S8 Permit, Underground Tank Facility . <br /> Statement Date : January 15, 1933 <br /> Payment. DUP Date: February 15, 19th <br /> 300.00 <br /> Previous Balance 100.00 <br /> Facility Fee; 50.00 <br /> Container Number ; 0001 5 <br /> 0002 0.00 <br /> 0003 50.00 <br /> 0004 50.00 <br /> TOTAL FEES DUE 8600.00 <br /> NOTES: <br /> Eat? <br /> - Notify the Stan Joaquin Local pAY�EG�tvED <br /> Health District of any <br /> corrections or changes <br /> necessary . Your permit will lJV FELE <br /> be mailed upon 'receipt of <br /> payment and approval of ENVIRONMENTAL HEALTH <br /> facility . / / PENT SERVICES <br /> Return payment along with one <br /> copy of this statement to: <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH PERMITfSERVICES <br /> F.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 /> NOTES: <br /> : ----- <br /> Notify the 'San 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, to. <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH PERMITISERVICES <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 Bose Fee <br />