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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P.O. Box 2009 <br /> Stockton, CA 0201 <br /> (209) 468-3425 <br /> Jogi Khanna, M.D. , Health Officer <br /> HICKIG3 <br /> HICKINBOTHAM BROS LTD HICKINBOTHAM OROS. LTD. <br /> <br /> STOCKION, CA 95201 <br /> Billing Statement For 1989 Permit, Underground Tank Facility . <br /> Statement Date 1 January 1 , 1989 <br /> payment Due Date; February 1 , 1989 <br /> Facility Fee: 100.010 <br /> Contaiier Number: 0001 WOO <br /> 0002 S0,00 <br /> TOTAL FEES DUE $200-00 <br /> N:ATE <br /> Notify the San Joaquin Local <br /> Healih 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 Base Fee <br />