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ve <br /> SAN JOAQUIN LOCAL HEALTH DlSTRiCT <br /> z 1601 E. Hazelton Ave. , P.O. Box 2009 <br /> s <br /> Stockton, GA 95201 <br /> _ (209) 468-3425 <br /> Joy Khanna, M.D. , Health Officer <br /> JACKP40 <br /> TIME OIL COMPANY JACKPOT <br /> <br /> LODI, , to 95240 <br /> Billing Stat.emen11 Fop 1928 Permit., Underground Tank Facility . <br /> Statement Date January 15 1988 <br /> "Ply!l&F-DA,.. 010 heb uar'y 1`, 1980 <br /> Facility Fee; 100.00 <br /> Container Number; 0001 50.00 <br /> 0002 50.00 <br /> 0003 50.00 <br /> TOTAL FEES DUE $250.00 <br /> NOTES: <br /> Notify the San Joaquin Local <br /> Health District of any <br /> Corrections or t,han9e5 <br /> necessary . You emit wik`1 <br /> be mailed upon cQFt; ui/ <br /> Payment and appyoval`of ' <br /> i <br /> facility . �_ / <br /> Return paymNr,?. Mom wi3.�= :_r;::. <br /> copy of thi <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH PERMITISERVICES <br /> P.O. BOX 2009 n <br /> STOCKTON, CA 95201 PAYMENT > <br /> Penalties will be added after PEC EIV E D S <br /> due date as shown: FEB 11988 <br /> 30 days - 100% of Base Fee <br /> ENVIRONMENTAL HEALTH <br /> PERMITISERVICES <br /> i. <br />