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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P.O. Box 2009 I <br /> Stockton, CA 95201 <br /> ( M. 468-3425 <br /> Jc�3i Khanna, M.D. , Health Cfffic <br /> i <br /> DONSO13 JAN 51989 <br /> DONS DISTRIBUTING CO. DUN'S DISTRIBUTING i <br /> F'. 0. BOX 269 1320 &N E�U �L7H <br /> STOCKTON, CA 95201 STOCk:TO 1 Azo:3 <br /> Billing Statement For 1989 Permit, Underground Tank Facility . <br /> Statement Date ; January 1 , 1959 <br /> Payrient. Due Date; February 1 , 1989 <br /> Facility Fee; 100.00 <br /> Container Number, 0001 50.00 <br /> TOTAL FEE; DUE 8150.00 <br /> NOTESo <br /> - <br /> Notify the San Joaquin Local <br /> Health District of any <br /> corrections or changes ,+n� <br /> necessary . Your permit will r !/�' <br /> be nailed upon 'receipt. of / ] <br /> payment and approval of / <br /> facility ., )) v <br /> Return payment along With one <br /> copy of this statement to: <br /> ;AN JOAQUIN LOCAL HEALTH DI'STRIC:T <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> P.O. BOX 20.09 G <br /> STOCKTON, CA 95201 r S <br /> Penalties Will be added after <br /> due date as shown;- <br /> _0 days - 100% of Base Fee <br /> 1 � <br />