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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1641 Ems. Hazelton Ave. , P.O. Box 2449 <br /> Stockton, CA 96241 <br /> ( r09) 468-3425 <br /> Togi Khanna, M.D., Health Officer <br /> EVAN`21 <br /> ROBERT L. EVANS ROBERT L. EWN`3 <br /> 21010 S. MANTECA ROAD 21010 S. MANTECA ROAD <br /> MANTECA, CA 96336 MANTECA, CA "5336 <br /> Billing Statement For 1939 Permit, Underground Tank Facility . <br /> , . f <br /> Stat.emen t. Cate Jt�1 y `1, 1469 <br /> Payment. Due Cate, August 1 , 1489 <br /> Facility Fee; 100.00 <br /> Container Number;; f001 50.00 <br /> TOTAL F'EE'S DUE $00.00 <br /> NOTES, <br /> Notify the 'San _;Caquii; Local <br /> Health District of any <br /> corrections or changes <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 st.at.ement. to: <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> P.C . BOX 2009 <br /> STOCKTi+N, CA `5201 <br /> Penalties will be added after <br /> clue date as shown, � <br /> 30 drays - 100% of Base Fee <br />