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1 � <br /> e <br /> r• r' SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P.O. Box 2005 <br /> Stockton, CA 95201 <br /> (209) 468-3425 <br /> Jogi Khanna, M.D. , Health Officer <br /> t JAC:KP40 <br /> yiMt lilt COMPANY' JACKPOT <br /> <br /> LORI „ CA 95240 <br /> Billing Statement For .1989 Permit, Underground Tank Facility, <br /> Statement Date : January 1, 1989 <br /> :.� <br /> Facility Fee: 100.0}0 <br /> Container Number: 0001 50.00 <br /> 0002 50.00 <br /> 0003 50.00 <br /> k" TOTAL FEE'S DUE 4250.00 <br /> NOTES: <br /> Notify the San Joaquin Local <br /> a Health District] of any <br /> corrections or changes <br /> necessary . Your permit will <br /> be Emailed upon receipt of <br /> payment and approval of <br /> facility . <br /> ___ R turn payment• along with one <br /> &_ i.ctBe- en <br /> copy Ui 'tnl5 && -tom f - <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH PERMITGERVICES <br /> P.O. BOX 2009 <br /> STOCKTON, CA 95201 <br /> Penalties will be added after <br /> due date as shown: <br /> 30 days - 1001 of .fuse Fee <br /> i <br />