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SAN OAQ J I N LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P.O. Box 2009 <br /> Stockton, CA 95201 <br /> (209) 468-3425 <br /> o' S KtlGi.i,aM.D. , Health Officer <br /> B EU1`76 <br /> <br /> :TOCKTON, CA 95207 <br /> Billing Statement For 1988 Permit, Underground Tank Facility. <br /> Statement trate , January IS, 1'g08 <br /> Payment Due Date; February 15, :�988 <br /> Facility Fee: 00.001 <br /> Container Number; 0001 50.00 <br /> TOTAL FEES DUE $150.00 <br /> NOTES: <br /> Notify the San C__...t . itcsqL.:1 i; Local <br /> Health District of any <br /> corrections or changes <br /> necessary. ;;our permit til.11 <br /> be mailed Upon receipt of <br /> payment and approval of <br /> Return payment along with one <br /> copy of this statement- to: � <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> P.O. SOK 2009 <br /> STOC:KTON, CA `S201 <br /> Penalties will be addeda after <br />