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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1501 E. Hazelton Ave. , P.O, Sax 2009 <br /> Stockton, CA 95201 <br /> (209) 468-342S <br /> Joy Khanna, M.D. , Health Officer <br /> SEI8082 <br /> SEIBOLD CORPORATION SEIBOLD CORPORATION <br /> P. O. SOX 728 820 S. AMERICAN <br /> STOCKTON, CA 35208 STOCKTON, CA 95246 <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 /> 000:3 50.00 <br /> TOTAL Z=EES DUE $250.00 <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 <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> P.O. BOX 2009 <br /> STOCKTON, CA 95201 <br /> Penalties will be added after <br /> due date as shown: <br /> 30 days - 100% of Erase Fee <br />