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• SAN JOAQUIN LOCAL HEALTH 01STOT <br /> 1601 E. Hazelton Ave. , P.O. Box 2009 <br /> Stockton, CA 95201 <br /> (209) 468-3425 <br /> Jogi Khanna , M.D. , Health Officer <br /> 'Sheldon Oil Company SHELD33 <br /> 426 Main St. SHELDON OIL COMPANY <br /> P. 0. Box 278 3310 E. MINER AVE. <br /> Suisun, CA 94585 STOCKTON, CA 95205 <br /> Billing Statement For 1988 Permit, Underground Tank Facility. <br /> Statement Date February 4, 1988 <br /> Payment Due Date : February 15, 1988 <br /> Previous Balance: $150.00 <br /> Facility Fee: 100.00 <br /> Container Number 0001 50.00 <br /> TOTAL FEES DUE: $300.00 <br /> f/I/s j <br /> QIP 5 i 3� <br /> NOTES: <br /> Notify the San Joaquin Local Health District of any corrections or changes <br /> necessary. Your permit will be mailed upon receipt of payment and approval <br /> of facility. <br /> Return payment along with one copy of this statement to : <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> P.O. BOX 2009 <br /> STOCKTON , CA 95201 <br /> Penalties will be added after due date as shown: 30 days - 100v of Base Fee <br /> 1'AYI4IE1I— <br /> I'� CEIVCD <br /> rE3 10 <br /> EN'0r'0NAA.ENTAL HEALFN <br /> • PER,, F.,VICF$ <br />