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JOAQUIN LOCAL HEALTH DISTRIC <br /> 1 E Hazelton Ave. , P.O. MAO <br /> Stockton, CA 95201 <br /> (209) 468 3425 <br /> Jogi Khanna,. M.D. , Health. Officer <br /> ROSE HIEFNER EST. RICKS26 <br /> 1393 29TH AVE RICKS NORWALKS SERVICE <br /> SAN FRANCISCO, CA 94122 2662 N. WILSON WAY <br /> STOCKTON, CA 952 <br /> Billing Statement for 1988 Permit, Underground Tank Facility: <br /> Statement Date: February 11, 1488 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 /> t <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 payment alorag. with one copy of this Statement to:` <br /> SAN JOtAQUIN LOCAL HEALTH UiSTRICT <br /> ENVIRONMENTAL HEALTH PERMIT;SERVICES <br /> P.O. 30X 2009 <br /> STOCKTON, CA. 95201 <br /> Penalties will be added after due date as .shown: 30 days 100% of Base Fee: <br /> Ii � <br />