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SAN JGAQUIT CAL HEALTH DIST RIOT <br /> Al1601 E. Haze. ..bn Ave. , P.-0.1 BoxX009 <br /> r Stockton, CA 96201 W� <br /> (209) 468-3425 <br /> Jogi Khanna, M.D. , Health 01fices• X. i <br /> BREUN'76 . jNEPA <br /> <br /> <br /> � ,� STOCKTON, CA 9S207 <br /> Billing Statement For 1989 Permit, ! der•groui�d Tank Facility. <br /> S3 atejent Date . January 1 , 1989 <br /> wa:ment-Dus Date:- <br /> - Facility Fee: 100.00 <br /> u <br /> ,. <br /> Container Number: 0001 so.o( <br /> TOTAL FEES DUE $150.00 <br /> i w <br /> NOTES-, <br /> Notify the San haqui rF Local ;: <br /> ,Health_Oist.rirt-..of an <br /> corrections or changes <br /> necessary. Your permit will <br /> be mailed upon receipt cif <br /> payment and approval of <br /> facility. <br /> Return payment• along with one <br /> copy of this statement to: <br /> SAN ROAQ01tCLOC-AL HEALTH f7iSWI(T <br /> ENVIRONMENTAL HEALTH PERM I T I SERV I CES <br /> P.O. BOX 2009 <br /> STOCKTON, CA 99201 a <br /> Penalties will be added after <br /> due date as shown; <br /> 30 says - 100% of Ease Fee <br />,f <br />