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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P. 0. Box 2009 <br /> Stockton, CA 95201 <br /> (209) 466-6781 <br /> Jogi Khanna, M.D. , Health Officer <br /> MODES42 <br /> MODESTO TALLOW COMPANY - STOCKTON PLANT MODESTO TALLOW COMPANY - STKN PLANT <br /> P. 0. BOX 5035 4221 E. MARIPOSA ROAD <br /> STOCKOTN, CA 95205 : STOCKTON,- CA 95205 <br /> Billing statement for 1987 Permit Underground Tank Facility. <br /> Statement Date: JUNE 24, 1987 <br /> Due: JULY 15, 1987 <br /> Facility $ 100 RV-VE0 <br /> Container k Status 50.00 AUL 15 A987 �(� <br /> _2 _� �0 <br /> FNVIP�MIT�SERVICES LTH <br /> Subtotal of permit fees: $ 200.00 <br /> Additional Billings or Credits <br /> TOTAL FEES DUE: $ 200.00 <br /> Penalties will be added Notify the San Joaquin Local Health District <br /> after due date as shown: of any corrections or changes necessary. <br /> Permit will be mailed upon receipt of payment <br /> and approval of facility. <br /> 30 days - 100% of Base Fee Return payment along with one copy of this <br /> statement to: <br /> San Joaquin Local Health District <br /> Environmental Health Permit/Services <br /> A - Active P. 0. Dox 2009, Stockton, C!. 95201 <br /> T( - Temporary Clo,,urr <br /> P( - Prrmarlonr (:lo•.un" <br /> `/ �o, <br />