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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1501 E. Hazelton Ave. , F.O. Box: 2009 <br /> Stockton, CA 95201 <br /> (209) 455-3425 <br /> Jogi Khanna, M.D. , Health Officer <br /> MSK THORN39 <br /> M&K <br /> P.O. BOX 433 8960 W WALNUT GROVE RD <br /> THORNTON, CA 95585 THORNTON, CA 9.5686 <br /> Billing Statement For 1988 Permit., Underground Tank Facility. <br /> Statement Date : .January 1S, 19+88 >q �'a', 11P-C /0j.dd <br /> Payment Due Date: February i5, 1988 'T'-ac Oao l Sa <br /> T6--4/ Gn v a Y570Old (/O0017 ,�Il <br /> TOTAL FEES DUE 2250.00 <br /> NOTES: <br /> Notify the San Joaquin Local <br /> Health. District of any <br /> corrections or charges <br /> necessary . Your permit will <br /> be mailed upon receipt of <br /> Payment and approval of <br /> facility. <br /> Return payment along with one <br /> copy of this statement to: <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> P.C . BOX 2009 <br /> STOCKTON, CA 95201 <br /> Penalties will be added after <br /> due date as shown: <br /> 20 days - 100% of Base Fee <br /> �' �rI <br />