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f <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P.O. Box, 2009 <br /> Stockton, CA 95201 <br /> (109) 468-3415 <br /> Jogi Khanna, M.G. , Health Officer <br /> CARNE 18 <br /> <br /> <br /> TRACY„ CA 9S376 <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 /> 0002 50.00 <br /> TOTAL FEES DUE $200.00 <br /> NOTES: p,4 <br /> ENT <br /> Notify the San Joaquin Local RECEIVED <br /> Health District of any FEB <br /> corrections or changes d i98� <br /> necesssary. Your permit will Nw <br /> be mailed upon receipt- of <br /> PE <br /> MENTAL HEAT <br /> payment and approval of �SERVCES H <br /> facility . <br /> Return payment along with one /V41 '9 <br /> copy of this statement to: <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT A�.�/ <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> P.O. BOX 2009 <br /> STOCKTON, CA 95101 <br /> Penalties will be added after <br /> due date as shown: <br /> 0 days - 100% of Erase Fee <br />