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SAN JOAQUIN 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 /> AMERI42 <br /> <br /> <br /> La D I, CA 35240 <br /> Billing Statement. For .1988 Permit, Underground Tank Facility . <br /> Statement Date- - Janua.ry--i�;---IQ 9- <br /> Payment <br /> Payment Due Date; February 15, <br /> Previous Balance 474.00 <br /> Facility Fee; 100.00 <br /> C:ontairer Number; 000! 50.00 <br /> 0002 50.00 <br /> non: 50.00 <br /> 0004 50.00 <br /> 0005 50.00 <br /> 0006 50.00 <br /> NOTES: TOTAL FEES DUE --$874 00 <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 /> Re Urn pigment alQrig,with ...; <br /> copy of this statement to: <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> P.O. BOX 2003 <br /> STOCKTON, CA 95201 <br /> Penalties will he added after <br /> due date as shown; <br /> '�O days - 100k of Base Fee <br /> JAN 2 8 'JRt <br /> ENVIRGMEVTAL HEALTH <br /> PERMIT/SERVICES <br />