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SAN JOAQUIN LOCAL HEALTH DISTRIC( <br /> 1601 E. Hazelton Ave. , P.O. Box 2009 <br /> Stockton, CA 9b201 <br /> (209) 458-3425 <br /> Jonithanna, M.D. , Health Officer <br /> STOCK06 <br /> STOCKFON GOLF WCOUNTRY CLUB STOCKTON GOLF I COUNTRY CLUO <br /> P. O. BOX 06 W. COUNTRY CLUB BLVD. <br /> STOCKTON, CA 95201 STOCKTON, CA 95204 <br /> ill ins;, Statement. For 1989 Permit, Underground Tank Facility. <br /> Statement. Date January 1, 1939 <br /> Payment. Due Date; February 1, i989 <br /> Facility Fee; 100.00 <br /> Container Number: 0001 50.00 <br /> 0002 50.00 <br /> 0003 STOO <br /> TOTAL FEES DUE $20.00 <br /> QS: <br /> Notify the Sara ,ioaquin 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 t+'J; <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> P.O. BOX 2009 <br /> STOCKTON, CA 0201 <br /> Penalties will be added after <br /> due date as shown: <br /> 30 days - 100% of Base Fee <br />