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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P.O. Box 2009 <br /> Stockton, CA 0201 <br /> (209) 468-:3425 <br /> Jog] Ktanna, M.D. , Health Officer <br /> SWENS01 <br /> CITY OF STOCKTON SWENSON PARK. GOLF COURSE <br /> <br /> STOCKTON, CA 95207 <br /> Billing Statement For 1988 Permit, Underground Tank Facility . <br /> Statement Date January 15, 1988 <br /> Payment Due Date; February 15, 190; <br /> Facility Fee; 100.00 <br /> Container Number: 0001 50.00 <br /> 0002 50.00 <br /> TOTAL FEE'S DUE --$200.00 <br /> - --------- <br /> I <br /> t <br /> NOTES; <br /> Notify the San Joaquin Local <br /> Health District of any <br /> corrections or changes <br /> A <br /> necessary. Your permit will <br /> he mailed upon receipt of <br /> payment and approval of <br /> facility. <br /> Return payment along With one <br /> COPY Of this statement to; <br /> SAfd JOAQUIN LOCAL HEALTH DISTRIC:1 <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> P.O. BOX 2009 <br /> STOCKTON, CA 95201 <br /> Penalties_• Will be added after <br /> due date as shown: <br /> 30 clays - 100% of Base Fee <br /> 4. <br /> i4. <br />