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c v_r y <br /> SAN ,}vA4UIN LOCAL HEALTH DISTRICTPAYMENT" <br /> RECEIVED <br /> Y+ 1601 E. Hjzeiton Ave. , P.O. Box 2002 <br /> ka ; <br /> Stockton, CA 95201- JA1V 1a, <br /> t 3;t (209) 468-342SS 19u9 <br /> Jogi Khanna, M.D. , Health Officer ENVIRONMENT <br /> AL HEALTH <br /> PERMIT/SERVICES <br /> HI C:K I63 <br /> HICKINBOTHAM BROS LTD HICKINATHAM BROS. LTU . <br /> <br /> STOCK:TON, CA 95201 <br /> Billing Statement For 1989 Permit., Underground Tank Facility . <br /> ot,eemenTLe Sanwa y 1' 039 <br /> Payment. Due Date, February 1 , 1989 <br /> Facility Fee; 100.00 <br /> Container Number; 0001 547.00 <br /> 0002 50. 00 <br /> t TOTAL FEES DUEi;0 00 <br /> NOTES <br /> 1 Notify the San Joaquin Local <A ro �n �� b <br /> Health District of any <br /> w corrections or yhanges <br /> necessary . Your permit will ,r, / <br /> be mailed upon receipt of V �Y \ <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 PERMITISERVICES <br /> P.O. BOX 2009 <br /> :STOCKTON, CA 9S201 <br /> I Penalties will be added after <br /> k due date a5 shown; <br /> e 30 d.ys = 1E;0 of Base Fee <br /> r <br /> 1 <br />