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~-' - <br /> . <br /> \ \^ <br /> SAN J8AQU}N LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P.O. Box 2009 <br /> Stockton, CA 95201 <br /> (209) 468^342S <br /> Jagi Khanna/ M.D. ' Health Officer <br /> SlMPS40 ' <br /> WILLIAM RELF J.H, S{MPS0N COMPANY <br /> 4026 COR0NA0O AVENUE 4025 C0R8NAD0 AVENUE <br /> STOCKT0N. ' CA 9S204 ST0CKT8N' / CA 9S204 ` <br /> \ <br /> filling Statement For 1989 Permit, Underground Tank Facility. <br /> Statement Date 1 January 1/ 1989 � <br /> ' Payment Due Date; February 1 / 1989 . <br /> Facility Fee} 100.00 <br /> Container Numberi 0001 50.00 <br /> TOTAL FEES FEES DUE $1SO00 <br /> K[TE& <br /> Noti4y 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 /> � <br /> ' Return payment along with one <br /> copy of this statement tn| <br /> SAN 10AQUlN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH PBRMTT/SERVlCES <br /> P.O. BOX 2004 <br /> ST0CKTUN' CA 95201 <br /> Penalties will be added after <br /> due date as shown; <br /> 30 days - 100% of base Fee <br /> , <br /> » <br /> - <br />