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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> P + ' 1501 E. Hazelton Ave. P.O. Box 2009 <br /> Stockton, CA 91201 <br /> (20'9) 458-3425 <br /> Jogi Khanna, M.D. , Health Officer <br /> WILLIAM RELF SIMPS40J.H. SIMPSON COMPANY <br /> 4025 C:ORONADO AVENUE 4025 CiiRONADO AVENUE <br /> STOCKTON, , CA 95204 STOCKTON, , CA 95204 <br /> Billing Statement For 1988 Permit., Underground Tank Facility. <br /> Statement Date January 1S, 1938 <br /> Paytaent. liue Dab! February 15 <br /> Facility Fee; 100.00 <br /> Container Number; 0001 50.00 <br /> NOTAL FEES DUE %150.00 <br /> NOTES; <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 DISTRICT <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> P.O. BOX 2009 <br /> STOCKTON, CA 95201 REC@ fiE" <br /> Penalties will be added after <br /> due date as shown: SAN 21198 <br /> 30 days - 100% of Base Fee 'ENV ERMMENTAL HE <br /> /SERVICESALT11 <br />