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SAN JOAQU I N LOCAL HEALTH DISTRICT P A Y M E N T <br /> > <br /> 1601 E. Hazelton Ave. , P.O. Box . 009 RECEIVED <br /> Stockton, CA 95101 <br /> (209) 468-:3425 JAN 2 5 190-3 <br /> Jogi Khanna, M.D. , Health Officer <br /> ENVIRONMENTAL HEALTH <br /> F'ACIF61 PERMIT/SERVICES <br /> JOHN KENDRICK PACIFIC: SHELL <br /> 6101 PACIFIC: AVENUE 6131 PACIFIC: AVENUE <br /> STi iCKTON, CA 95207 S T OC:: <br /> f•.TON, CA 95107 <br /> Billing Statement For 1988 Permit, Underground Tank: Facility. <br /> Statement Date : January 15, 1988 <br /> Payment. Due Date: February 15, 1988 <br /> Facility Fee: 100.00 <br /> Container Number: 0001 50.00 <br /> 0002 50.00 <br /> �jtj03 50.00 <br /> TOTAL FEES DUE $150.00 <br /> NOTES <br /> Notify the San Joaquin Local <br /> Health District of any <br /> corrections or changes <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/'3ERVICE'3 <br /> P.O. BOX 2009 <br /> S T OCKTON, CA 95201 <br /> Penalties will be added after <br /> due date as shown: <br /> 30 days - 100% of Ease Fee <br />