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Am <br /> s , <br /> ' SAN JaACIUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P.O. Box, 2009 <br /> 3tocktoin, CA '35201 <br /> . . r <br /> (209*)j 463-3425 <br /> Jogi Khanna, M.D. Rea ith Officer <br /> ExxON31 � 330 <br /> t EXXON COMPANY RANDY VETESY EIC <br /> 16945 NORTHCHAS BLVD 312E. W. BENiAMIN HOLT DRIVE <br /> HOUSTON, TX STOCk:TON, CA 95.207 <br /> 7 <br /> Billing Statement. For 1989 Permit, Underground Tank Facility. <br /> Statement Date January 1 , 19=9 <br /> Paywerd.-Due Dater <br /> Facility Fee; 100.00 <br /> Container Number, 0001 50.00 <br /> O002 50.(K) <br /> 0003 50.00 <br /> Ci004 50.00 <br /> f TOTAL FEES DUE $360.00 <br /> NOTES: <br /> Notify the 'San Joaquin Local <br /> Health District of any <br /> 'r corrections or changes <br /> necessary . Your permit will <br /> be mailed upon receipt of <br /> payment and approval of PAYMENT <br /> facility . RECEIVED <br /> Return pay(iient along with one <br /> JAN ; 19d <br /> copy c, this statement to; ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT PERMITJSERVICES <br /> ENVIRONMENTAL HEALTH PERMITISERVICES <br /> P.O. BOX 2009 <br /> STOCKTON, CA 95201 <br /> Penalties will be added after <br /> due date as shown: <br /> 30; days r, I09o% cif Base Fee <br /> k <br />