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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P.O. Box 2009 <br /> Stockton, CA 95201 <br /> (209) 468-3425 <br /> Jon K1•anna, M.D. , Health Officer <br /> REGAL64 <br /> WICKLAND OIL <br /> <br /> STOCKTON, CA 95207 <br /> Billing Statement For 1908 permit, Underground Tank Facility. <br /> Statement Date January 1.5, 1988 <br /> Payment. Clue hate; February 1S, 1986 <br /> Facility Fee; a00. 00 <br /> Container Number; 0001 .50.00 <br /> 0002 5000 <br /> 0003 50.00 <br /> TOTAL FEES DUE $250.00 <br /> NOTES; <br /> Notify the San Joaquin Local <br /> Health District of any <br /> corrections or thanges <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 statement to; <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> F'.O. BOX 2009 <br /> STOCKTON, CA 95201 <br /> Penalties will be added after <br /> due date as shown; <br /> 00 days - 100% of Base Fee <br />