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JOAQUIN LOCAL HEALTH DISTRICT <br /> '1 f . Hazelton Ave. , `P.O. Box <br /> ,. Stockton, CA 95201 <br /> (209) 468 3425 <br /> r Jogi Khanna, M.D. , Health Officer <br /> ROSE HIEFNER EST. RICKS26 <br /> 1393 29TH AVE \ RICKS NORWALKS SERVICE <br /> SAPS FRANCISCO, CA 94122 2662 N. WILSON WAY <br /> STOCKTON, CA 95205 7� <br /> I! <br /> Billing Statement for 1988 Permit, Underground Tank Facility: <br /> Statement Date: February 1.1, 1988 Previous Balance 512.00 <br /> Payment Due Date: February 15, 1988 <br /> Facility Fee 100.00 <br /> Container Number <br /> 0001 50.00 <br /> 0002 50.00 <br /> TOTAL FEES DUE: $712.00 <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 4)ayment along with orle 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 - 100%; of Base Fee: <br />