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SAN JCIAQU i N LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P.I3. Box LOU`'+ <br /> St.ocl;t.m, C:A 9b201 <br /> (209) 468-3425 <br /> Jogi Khanna, M.D. , Health Officer <br /> SE18082 <br /> SEIBWLD CORPORATION SEIBOLO CORPORATION <br /> P. O. BOX 7'1c: r;10 AMERICAN <br /> STOCKTON, CA 9$108 STOCKTON, CA 95206 <br /> ii l l ing StatemerAt For. 198.9 Permit, Underground Tank Facility . <br /> $tatemennt. Date . "January 1, 1989 <br /> Payment Due Date; February 1 , 19 ;9 <br /> Facility Fee; i00.00 <br /> Container Number; 0001 50.00 <br /> 00012 SO.00 <br /> 000-13 GO DO <br /> 1" TOTAL FEES OVE $2SO.00 <br /> 10TES <br /> Notify the San Joaquin Local <br /> Health District of any <br /> correct.iorts or changes - <br /> necessary . `(,sur permit will <br /> be mailed 'upon receipt of <br /> payment and approval of <br /> facility . <br /> Return payliient along with one <br /> copy of tkl s statement toy <br /> :SAN .IOAQ. N LOCAL HEALTH D1SIRIC:'! <br /> ENVIRONMENTAL HEALTH PERMITJSERVICES <br /> P.O. BOX 1009 <br /> '=TOCKfON, CA 95201 <br /> Penalties will be added after <br /> due date as shown: <br /> r <br /> 3(3 days - 1CiC;y ['i case ree <br />