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SAN jOAQUfN LOCAL HEALTH DISTRfC <br /> �n ff 1601 E. Hazelton Ave. , P.O. Box <br /> I'YI� <br /> Stockton, CA _5001 <br /> Y ('209) d6Ct-3d�� U <br /> Joyi Khanna, M.D. , Healt.hpOfficer <br /> SCHATI6 <br /> RODNEY SCHATZ RODNEY SC'HATZ o <br /> 16100 N. ALPINE ROAD 16100 N ALPIPdt _IPO Ft.., ®� ✓ <br /> LODI , CA 95240 LODI , CA 95240 <br /> -i <br /> Billing Statement For 1989 Permit., underground Tank Facility . <br /> Statement Date July 1, 198'9 <br /> -Payment. Due- DssW Aug'sst.. 1, 1959 ,W. x <br /> Facility Fee; 100.00 <br /> Container Number ; 0001 50.00 <br /> TOTAL FEES DUE $1.50.00 <br /> Y KRB <br /> NOTES; <br /> Notify the San Joaquin Local <br /> Health District of any <br /> corrections or changes <br /> necessary . _Your permit. will " <br /> be maile, upon receipt of <br /> payment and',approval of, <br /> facility . <br /> Retwon payment along with one <br /> copy of this statement to: <br /> SAN JOAQ1UIN'LOC:AL HEALTH DIST IC:T <br /> ENVIRONMENTAL HEALS PERMIT/SERVICES <br /> P.O. BOX 2009 <br /> STOC:KTON, CA 95201 <br /> y <br /> Penalties will be added after <br /> due date as shower <br /> 30 days - 100% of Base Fee <br />