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SAN JoAQ,UIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P,O, Box 2009 <br /> Stockton, CA 95201 <br /> (209) 468-3425 <br /> Jogi Khanna, M.U. , Health Officer <br /> CALTR04 <br /> BOB SUMMERS CAL TRANS MAINTENANCE STATION <br /> <br /> STOCKTON, , CA '95200. <br /> Billing Statement For 1589 Permit, Underground Tank Facility. <br /> Statement Date 3anuary 1 , 1989 <br /> Payment true Bate; February 1 , 19 .E <br /> Facility Fee; 00.00 <br /> Container Number : 0002 50.00 <br /> 0000 50.00 <br /> TOTAL FEES DUE $200.00 <br /> NOTES; <br /> Notify the San Joaquin Local <br /> Health Districts of any <br /> corrections or changes. <br /> necessary . Your permit will <br /> be trailed upon receipt of <br /> payment and approval of <br /> facility. <br /> Return payment along with one <br /> copy of this statement to; <br /> I <br /> SAN jOAQUIN LOCAL HEALTH UISTRIC:T <br /> ENVIRONMENTAL HEALTH P'ERMITISERVICES <br /> P.O. BOX, 2009 <br /> STOCKTON, CA 95201 <br /> Penalties will be added after <br /> due date as shown: <br /> 20 days - 100% of Base Fee <br /> r <br />