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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , F.O. Box 2009 <br /> Stockton, CA 95201 <br /> (209) 458-5425 <br /> Jc- <br /> gi Khanna, M.D. , Health Of f icer <br /> HOWARD E. RICHARDSON RIC1.S NORWALKS SERVICE <br /> 2662-N. WILSON WAY 2EE12 N. WILSON WAY <br /> STOCKTON, CA 35205 STOC};TON, CA 95205 <br /> BillingStatement Foie 1988. Permit, Underground Tank Facility. s <br /> Statement Date : January 15, 198:3 <br /> Payment Due Date: February 15, 1988 - <br /> Previous Balance 512:00 <br /> Facility Fee; <br /> 100.0,0 <br /> Container Number: 0001 50.00 <br /> 0002 Sfl.Ofl <br /> TOTAL FEES DUE 47-12.00 <br /> NOTES <br /> Notify the man 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 ,E <br /> facility. <br /> Return payment along with one <br />., ,• .cop—of .his stctefe1t to: - <br /> LAN JOAQtjiN LOCAL HEALTH DISTRICT <br /> ENVIRONh9ENTAL HEALTH FERhlITlSERVIGE:a <br /> -P.O. BOX 2009 <br /> t STOCKTON, - CA 95201 <br /> Penalties wi <br /> ll be added of t.er <br /> 71 <br /> due date as shown: <br /> 30 days - 100% r $ase Fee <br /> 't)q <br />