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y � <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P.O. Box 2009 <br /> Stockton, CA 55201 <br /> (209) 468-3425 <br /> Jogi Khanna, M.U. , Health Officer <br /> SANTA80 <br /> SANTA FE RAILWAY SANTA FE RAILWA'Y,:STKN FACILITY <br /> 5200 SHEILA STREET 101 DIAMOND STREET <br /> LOS ANGELES, CA 90040 STOCKTON, CA 95205 <br /> killing Statement. For 19sw permit, Underground lank Faciiit.y . <br /> Statement Date January 15, 088 <br /> Payment. Due Date; February 15, 1981 <br /> Facility Fee: 100.00 <br /> Container Number; 000i 50.00 <br /> 0002 50.00 <br /> 0003 50.00 <br /> 0004 SO.00 <br /> TOTAL FEES DUE $300.00 <br /> NOTES: <br /> Notify the 'can 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.U. 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 />