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PAYMENT <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT RECEIVED <br /> 1601 E. Hazelton Ave. , P.O. Box 2009 <br /> "t.ockton, CA 95201 JAN <br /> ('209) 463-3425 <br /> Jogi Khanna, M.D. , Health Officer ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES <br /> MIDCAII <br /> MID CAL TRACTOR MIO CAL TRACTOR <br /> P. 0. BOX 6069 1120 W. CHARTER WAY <br /> STOCKTON, CA 95206 STOCKTON, CA 95203 <br /> Billing St ateti,ent For 1189 Permit, Underground Tank Facility. <br /> Statement Date January 1 , 1989 <br /> Payment" Due Date; February 1 , !939 <br /> Facility Fee: 100.00 <br /> Container Number : OOOl SO.00 <br /> itt02 50.00 <br /> TOTAL FEES DUE $200.00 <br /> NOTES: <br /> Notify the San Joaquin Local <br /> Health District of any <br /> cor'r'ections or changes <br /> necessary . Your permit will <br /> be mailed upon receipt of Inittai� <br /> payment and approval of <br /> sc;u <br /> f ac i 1 i t"y . Date Received <br /> Return payment along with one - _ o^ctad V R <br /> copy of this statement to: <br /> , Nam_e cf Acct. <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES — - <br /> P.O. BOX 200`_; — <br /> STOCKTON, CA 95201 10b # <br /> Penalties will be added after. _ <br /> due date as shown. <br /> 30 gays - 100% of Base Fee <br /> , <br />