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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P.O. Box 2009 JAN 9 1989 <br /> Stockton, CA 95201 <br /> (209) 468-3425 ENVIRONMENTAL HEALTH <br /> Jogi Khanna, M.D. , Health Officer PERMIT ISERVICES <br /> WALNUI0 <br /> WALNUT GROVE TRANSPORTS WALNUT GROVE TRANSPORTS <br /> P. O. BOX 716 10501 W. WALNUT GROVE RD. <br /> WALNUT GROVE, CA 95686 THORNTON, CA 95686 <br /> 3illing Statement For 1989 Permit, Underground Tank Facility . <br /> Statement Date : .January 1, 1989 <br /> Payment Due Date: February 1, 1989 <br /> Previous Balance 170.00 <br /> Facility Fee: 100.00 <br /> Facility Fee: 100.00 <br /> 0001 50.00 <br /> 0001 50.00 <br /> 0002 50.00 <br /> 0002 50.00 <br /> TOTAL FEES DUE $570.00 <br /> :BUTES: <br /> Notify the San Joaquin Local <br /> Health District of any <br /> corrections or changes <br /> necessary. permit will <br /> mailed upon <br /> r receipt of <br /> pa <br /> payment. and approval of n <br /> facility . <br /> Return payment along with one �� r <br /> copy of this statement to: �)J, <br /> SAN JOAQUIN LOCAL 'HEALTH DI'STRIC:T <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES V <br /> P.U. BOX 2009 <br /> STOCKTON, CA 95201 I <br /> Penalties will be added after <br /> due date as shown: <br /> 30 days - 100% of Base Fee <br />