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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P. 0. Box 2009 <br /> Stockton, CA 95201 <br /> (209) 466-6781 <br /> Jogi Khanna, M.D. , Health Officer <br /> WATER33 <br /> . WATERFRONT YACHT HARBOR WATERFRONT YACHT HARBOR <br /> 333 TULEBERG LEVEE 333 TUELBERG LEVEE= <br /> STOCKTON, CA 95203 STOCKTON, CA 95203 <br /> Billing statement for 1987 Permit , Underground Tank Facility. <br /> Statement Date: JUNE 25 , 1987 <br /> Due: JULY 15, 1987 <br /> Facility $ 100 <br /> Container N *Status <br /> 2- A --50.00 <br /> � A 5U U�^© <br /> Subtotal of permit fees: S 250.00 <br /> Additional Billings or Credits <br /> TOTAL FEES DUE: S 250.00 <br /> Penalties will be added Notify the San Joaquin Local Health District <br /> after due date as shown: of any corrections or changes necessary. <br /> Permit will be mailed upon receipt of payment <br /> and approval of facility. <br /> 30 days - 100% of Base Fee Return payment along with one copy of this <br /> statement to: <br /> San Joaquin Local Health District <br /> Environmental Health Permit/services <br /> Active!1 <br /> P. 0. Box 2009, Stockton , ft, r11)1001- <br /> T{. - To(iworary Clo,.uro <br /> N Porm,lrlollt (`1O',;i1r- <br />