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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P.O. Box 2009 <br /> Stockton CA 95201 <br /> (209) 468-3425 <br /> Jogi Khanna, M.D. , Health Officer <br /> Wi RTL 1 S <br /> DONALD S. WORTLEY DONALD S. WORTLEY <br /> <br /> 001 , CA 95240 <br /> Billing Statement For 1989 Permit., Underground Tani; Facility . <br /> Statement. Date t July 1, 1989 <br /> Payment. Due Date: August. 1 , 1989 <br /> Facility Fee: 100.00 <br /> Container Number; 0001 50.00 <br /> TOTAL FEES DUE $150.00 <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 t.o: <br /> "SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> P.D. 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 />