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4 So/ <br /> SAN JUA.UIN LOCAL HEALTH DISTRICT <br /> 1601 E. Haze i ton Ave. , P.O. Box 2009 <br /> .;tocktLn, CA 95201 <br /> (209) 468-3425 <br /> Jogi Khanna, M.D. , Health Officer <br /> rC`4X-1 <br /> RANDY VETESY EXXON RANDY VETESY EXXON <br /> 3123 W. BENJAMIN HOLT DRIVE 31.28 W. BENJAMIN HOLT DRIVE <br /> STOCKTON, CA 95201 '=TOCKTON.. CA 99207 <br /> Billing Statement. For 1988 Permit, Underground 'tank Facility . <br /> Statement Date January 15, 1988 <br /> Payment. Due Date; February 16, 1988 <br /> Previous Balance ';00.00 <br /> Facility Fee; 100.00 <br /> CGiit.ai ne'r Number: 0001 50.00 <br /> 0002 50.00 <br /> OCrC•`t 50.(10 <br /> 0004 50.00 <br /> TOTAL FEES DUE $600.00 <br /> NOTES: <br /> Notify the San Joaquin Local <br /> Health District. of any <br /> corrections or changes <br /> necessary . Your permit will <br /> tie mailed upon receipt, of <br /> payment and approval of <br /> facility . <br /> Return payment. along with c1ne <br /> copy of this statement to, <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH PERMIT"SERVICES <br /> P.C . BOX 2009 <br /> STOCKTDN, CA 98201 s >, <br /> PenaIt.ies will tae added after <br /> due date as shown; ` <br /> JO days - 100% of Base Fee 4, <br /> :Y <br />