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` <br /> .` <br /> ' <br /> SAN j0A0UIN LOCAL HEALTH DJSTHJ�/. <br /> 1 <br /> 601 E' Ha'"'"on Ave— P.O. Box <br /> �°"9 <br /> Stockton, CA 96201 <br /> (209) 468-3425 <br /> 09i @h�Dna' M.U. ' Health 8f/icer <br /> STOCKTON NISSAN 8TOCK18 <br /> > p- O. BOX 8850 STOCKTUN NISSAN <br /> � SFUCkT04, CA9 S200 1847 N. WILSON WAY <br /> | STOCKT0W' CA 9S205 <br /> Bi}lins Statoment For 1868 Peroit' Underground Tank Faci }ity, - <br /> Statement Date ; January 16, <br /> 5 1 <br /> 988 ' <br /> Pay0er/i� Due Date! February 1 ' <br /> y S, ]988 <br /> Facility Fee, - <br /> 100.00 <br /> Container Number; 0001 50.00 <br /> 0002 50.00 <br /> _________ <br /> [OTAL FEES DUE $200.00 <br /> ========= <br /> NOTES; <br /> KkJti1v the San juaquin Local ` <br /> Health 0i5trict of any <br /> c0rreLti[ns or changes <br /> ne[essary . Your permit will <br /> be mailed upon receipt of <br /> payment and approval of <br /> facility . <br /> HetU7n Payment a}0O-p with one <br /> copy of this statement to; <br /> SAN J0AQUlN LOCAL HEALTH BISTKICl <br />��mw^ ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> � <br /> P.U. BUX 2009 <br /> STOCKTUW, CA 96201 <br /> Penalties will be adued after <br /> ' due date as shown: <br /> � 3O days - 100c% of Base Fee <br /> 0 <br /> � <br /> ' <br /> �'-� <br />