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J <br /> SAN JOAQUIN LOCAL HEALTH DISTRIC`f <br /> 1501 E. Hazelton Ave. , P.O. Box 2009 <br /> Stockton, CA 95201 <br /> (209) 453-3425 <br /> Jogi Khanna, M.D. , Health Officer <br /> SIMPS40 <br /> WILLIAM RELF J.H. SIMPSON COMPANY <br /> 4025 CORONADO AVENUE 4025 CORONADO AVENUE <br /> STOCKTON„ CA 95204 STOCKTON„ CA 95204 <br /> Billing Statement For 1988 Permit, Underground Tank Facility. <br /> Statement Date : January 15, 1988 <br /> Payment Due Date, February 15, 1988 <br /> "Facility Fee; 100.00 <br /> Container Number, 0001 50.00 <br /> TOTAL FEES DUE --$150.00 <br /> NOTES: <br /> Notify the Sar. 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 <br /> Penalties will be added after <br /> due date as shown, <br /> 20 days - 100% of Erase Fee <br />