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SAN JOAWIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P.O. Box 2009 <br /> Stockton, CA 95201 <br /> (209) 468-3425 <br /> Jcai Khanna, M.D. , Health Officer <br /> STOCK06 <br /> STOCKTON GOLF & COUNTRY CLUB STOCKTON GOLF & COUNTRY CLUB <br /> P. 0. BOX 336 W. COUNTRY CLUB BLVD. <br /> STOCKTON, CA 95201 STOCKTON, CA 95204 <br /> Billing Statement. For 1958 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 /> 0003 50.00 <br /> TOTAL FEE=: DUE $250.00 <br /> NOTES <br /> Notify the 'San Joaquin Local <br /> Health District of any <br /> i <br /> correct•ians or changes <br /> necessary . Your permit will I <br /> be mailed upon receipt of <br /> payment and approval of M1� <br /> facility . <br /> Return payment along with one <br /> copy of this statement to; <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> P.O. BOX 2009 1 <br /> STOCKTON, CA 99201 <br /> Penalties will be added after I' <br /> due date as shown; <br /> 30 days - 100% of Erase Fee <br /> I <br /> y <br />