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SAN JOAQU1N LOCAL HLALTH Ul`aTRIC' <br /> 100t E. Halelt:n-, Ave. , P.O. Box 2009 <br /> Stockton, .:A y.1,' 01 <br /> ('20'3) 408-342`+ <br /> Jogi Khanna, M.D. , Health Officer <br /> MAMEW <br /> MATHESON LAST FREIGHT MATHESON FAST FREIGHT <br /> <br /> LUD! i CA w5240 <br /> Billing Statement For 19c.' errriit, Under,.,around Tank Facility . <br /> Statement Date January i , i9".3 <br /> Payment Due Dale; Fen.diary 1 , 1'3c;8 <br /> Faci.ilty Fee; 100.00 <br /> 'Container Nf.)i0ber� 0001 50.00 <br /> 0002 510.00 <br /> _t`IAL FEES DUE $200 :00 ' <br /> NOTES; <br /> Notify the Sar, Joaquin, Local <br /> Health District of any <br /> corrections or changes <br /> necessary . Your permit. Wil <br /> be trailed upon receipt of <br /> payment and apr•r•ova: of <br /> facility. <br /> Return pavrrent. along With one A <br /> COPY of this statement. to; <br /> 5" y <br /> .. ..... 'Uf F' <br /> SAN JOAWIN U-ICAL HEAL �1ic.IR1:: <br /> i 4 <br /> ENVIRONMENTAL HEALTH FE RMIT!':,Er;�.`IC.t'� <br /> BOX 2009 <br /> STOCKTON, CA 95201 <br /> Penalties Will be adde-J after <br /> due gate as shown; <br /> 30 days - i00% of ea=•e Fee rt <br /> y' r <br /> .ya <br /> Crt <br />