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r; <br /> 'AIN JOAQUIN LOCAL HEALTH DISTR'i PAYMENT <br /> 1601 E. Hazelton Ave. , P.O: Box 2003 RECEIVED <br /> Stockton, CA 95201 <br /> Qo) 468-1425 JAN 2 5 1988 <br /> Yogi Khanna, M.D. , Health Officer <br /> MVIRONMENTAL HEALTH <br /> S TOCKOr EERMITISERVICES <br /> STOCKTON GOLF L COUNTRY CLUB STOCKTON 6ULF 6 COVIN IHY CLUB <br /> P. 0. BLiX "26 W. COUNTRY CLUE, BLVD. <br /> STOCKT& CA '35201 :;TUCKTON, CA '35204 <br /> Billing St.at.ement. Fca, Ig88 F'err:xt, Unc;e} ground 'lank: Facility . <br /> Statement Date January is, 1988 <br /> Fayrn+-rid. Due Date; rer_,ruar•Y Tt, -193`8 <br /> Facilit•y. Fee: 100.00 <br /> Container Number: 0001 50.00 <br /> 0001 50.00 ' <br /> 000:3 50.00 <br /> TOTAL FEES DUE '8250.00 <br /> NOTES: <br /> No,t.ify the San Auaquirr Local <br /> Health District of any <br /> carrec i.ior�s or changes <br /> necessary. Your permit will <br /> tie flailed upon receipt of <br /> Payment and approval of <br /> faciiit.y . <br /> Return p4yment• along with one <br /> copy Of this statement i <br /> SAN tDAWIN LUC.AL HEALTH Dl'IR"'T <br /> ENVIRONMENTAL HEALTH PE4:M1Ti=_EftVICE <br /> P.O. BOX 1009 / <br /> STOCKTON. CA 95201 <br /> i <br /> Penalties will be added after <br /> L' <br /> due date as shown: L <br /> 30 days - 100% of Base Fee <br />