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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P.O. Box 2009 <br /> Stockton, CA 9510,1 <br /> ! 09? 458-3415 <br /> Jogi Khania, M.D. , Health Officer <br /> GUALD36 <br /> GUALOAGNALO FARMS GUALOAGNALO FARMS <br /> <br /> LINDEN, CA 95136 <br /> Billing Statement For 1989 Permit, Underground Tank Facility . <br /> Statement Date : August 1, 198.9 <br /> Payrient. Due Date: September 1 , 1989 <br /> Previous Balance 111.00 <br /> Facility Fee: 100.00 <br /> Container Number: 0001 50.00 <br /> 0001 50.00 <br /> TOTAL FEES DUE $311.00 <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 /> fa[iiit.+. <br /> Return payment along with one <br /> copy of this statement to: <br /> SAN jOAQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH PERMIT!'oERVICES <br /> P.O. BOX 1009 <br /> STOCKTON, CA 95201 <br /> Penalties will be added after <br /> due date as shown: <br /> 30 days 100'k of Base Fee <br />