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� 1 - <br /> i� SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P.O. Box 2009 <br /> Stockton, CA 95201 <br /> (209) 468-3425 REQ <br /> Jogi Khanna, M.D. , Health Officer �AN26 <br /> CASTL01 <br /> <br /> <br /> TRACY, CA 95376 <br /> Billing Statement For 1988 Permit, Underground Tank Facility, <br /> Statement Date ; January 15, 1938 <br /> Payment Due Date; February 15, 1988 <br /> Facility Fee: 100.00 <br /> Container Number: 0001 50.00 <br /> fTOTAL 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 Q !v5 <br /> ENVIRONMENTAL HEALTH PERMIUSERVICES <br /> P.O. BOX 2009 O��\�h`� <br /> STOCKTON, CA 95201 <br /> Penalties will be added after <br /> due date as shown; <br /> 30 days - 100% of Base Fee <br /> J�� <br />