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SAN JOAQUIN LOCAL HEALTH DISTRICT pgyMENT <br /> 1601 E. Hazelton Ave. , P.G. Box 2009 RECEIVED <br /> Stockton, CA 95201 <br /> (20.9) 468-3425 JAN 2 (; 1983 <br /> Jogi Khanna, M.D. , Health Officer <br /> ENVIRONMENTAL HEALTH <br /> MANOK89 PERMIT/SERVICES <br /> M&K: M&K <br /> �- 896.0 W WALNUT GROVE RD '`8860 W WALNUT GROVE RD <br /> THORNTON, CA 95686 THORNTON, CA 95686 <br /> Billing Statement For 198:9 Permit, Underground Tank Facility . <br /> Statement. Date : January 1, 1989 <br /> ayment Due Date: February 1, 089 <br /> Facility Fee: 100.00 <br /> Container Number: 0001 50.00 <br /> 0:002 50.00 <br /> 0003 SO.00 <br /> TOTAL FEES DUE $250.00 <br /> NOTES: <br /> Notify the San Joaquin Local <br /> Health District of any <br /> corrections or changes <br /> necessary. Your permit will <br /> be mailed 'upon receipt of <br /> payment and appr0val of <br /> facility. <br /> Return payment along with one <br /> copy of this statement to: <br /> SAN JGA;•UIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> P.O. BOX 2009 <br /> STOCKTON, CA 95201 <br /> Penalties will be added after <br /> due date as shown: <br /> 30 days - 100% of Rase Fee <br /> .... .,r <br />