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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , N.O. Box 2009 <br /> Stockton, CA 95201 <br /> (209) 453-3425 <br /> Jogi Khanna, M.G. , Health Officer <br /> CARNEIG <br /> PARKS & RECREATION CARNEGIE 'SVRA <br /> <br /> TRACY„ CA 95376 <br /> Billing Statement For 1989 Permit., Underground Tani; Facility, <br /> Statement. Data ; January 1 , 1939 <br /> Payment. Due Date; February 1, 1989 <br /> Facility Fee; 100.00 <br /> Container Number; 0001 50.00 <br /> 0002 50.00 <br /> TOTAL FEES DUE -8200.00 <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 I — a <br /> copy of this statement to: <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT Ann) GG� <br /> ENVIRONMENTAL HEALTH PERMITISERVICES <br /> P.O. BOX 2009 <br /> STOCKTON, CA 95201 <br /> Penalties will be added after <br /> due date as shown; <br /> 30 day=_- - 100% of Base Fee <br />