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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P.O. Box 2009 <br /> Stockton, CA 55201 <br /> (209) 463-3425 <br /> Josi Khanna, M.D. , Health Officer <br /> AMER142 <br /> J00ST WILDEBOER AMERICAN DUTCH FOUNDRY <br /> <br /> LOD I, CA 95240 <br /> Billing Statement For 1988 Permit, Underground Tank Facility. <br /> Statement Date January 15, 1988 <br /> Payment. Due Date; February 15, 1988 <br /> Previous Balance 474.00 <br /> Facility Fee; 100.00 <br /> Container Number: 0001 50.00 <br /> 0002 50.00 <br /> 000:3 50.00 <br /> 0004 60.00 <br /> 0005 50.00 <br /> 0006 50.00 <br /> NOTES: TOTAL. FEES DUE $974.00 <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 /> Return payment along with one <br /> copy of this statement to; <br /> SAN JOAQUIN LOCAL HEALTH DISTRIL.1 <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICE`+ <br /> P.O. BOX 2009 <br /> STOCKTON, CA 95201 <br /> Penalties will be added after <br /> due date as shown; <br /> 30 Gays - 100% of Fuse Fee <br />