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~ ` - <br /> , <br /> , <br /> Stateme1 1t <br /> SAN JUA�UIN LOCAL HEALTH �lSTRICT <br /> DlVlSlUN UF ENVIRONM�NTAL HEALlH <br /> PERMIT SERVICES <br /> � ��� E HAZELl0N AV�NUE Sll/CKlON, {'A 96206 <br /> (209) �68 3423 <br /> / <br /> ��) \ <br /> '^~ ` <br /> \�\ <br /> �i \ lino for 1986 throu�h 19S� { ees for permI <br /> Statement Uate � 4/ 19/89 <br /> � ° v <br /> �tate �urch�rge <br /> Fee � Tanx �00l '�6 <br /> _............... <br /> __ <br /> T0lAL AMUVNT OF Ft�� �UL �. / � <br /> /------------ ' <br /> v <br /> lf you have any c�ange�' _ \ <br /> corrections please call <br /> office when statement is �t� -' <br /> received <br /> Penalty ' � wil l be <br /> the due 'jate as <br /> 30 - day�� at 100% c'f bas� fee <br /> Please remit with payment a copy c�~' <br /> �f t�his statement to � <br /> San Joaquin Loc�l Health District <br /> EDvi r�n�oent�l Heal th <br /> 1601 E Hazelton Ave <br /> Stockton, CA 95206 <br />