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` . <br /> � ^ <br /> SAN J0AQUlN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P.O. Box 2009 � <br /> Stockton, CA 95201 <br /> , (209) 468-342S <br /> Jogi Khanna/ M.D. / Health Officer <br /> JACKP40 <br /> TIME OIL COMPANY JACKPOT <br /> <br /> LODl , , CA 96240 <br /> Billing Statement For 1939 Permit/ Underground Tank Facility. <br /> Statement Date January 1/ 1489 <br /> Payment Due Date; February 1/ 1989 <br /> Facility Fee; 100.00 <br /> Container Numberi 0001 SO.00 <br /> 0002 SO.00 <br /> 0003 S0�00 <br /> TOTAL FEES FEES DUE $260.00 <br /> NOTB� <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 /> faci}ity. <br /> Return payment along with one <br /> copy of this statement to: <br /> SAN JOAQUlN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> P.O. R[|X 2009 - <br /> STOCKTON/ CA 95201 <br /> Penalties will be added after <br /> due date as shown; <br /> 30 days - 100% of Base Fee <br /> � <br /> a <br />