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•� PAYMENT' <br /> SAN ;;Cu :aC;1N LOCAL HEALTH L: RECEIVED <br /> 1601 L. Hazelton f7VA2. , P.O. <br /> .-'to" ton, CA 95201 <br /> (209) 463-342—c JAN I o 19ts <br /> i - Logi Khanna, m.D. , Health iii <br /> .ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES <br /> GCILFL78 <br /> GOLF LAND GOLF LANI-1 <br /> 78,50 N. WES t U*4 idbkl N. <br /> STOCKTON, CA '9:S2i0 i,lfji_+:I!id; ?'_:;'i;_' <br /> Billing Statement For 198"? Permit , :lip_e <br /> p. Stratemdent.Date t-January } ;_ <br /> Payment Due Uat.er February 1 , <br /> i-aC 3l li.`! Feei ii%0.'i:0 <br /> '+i?t.d2?lyr. i`iufi;t'e l"jU.- ;_fj V, <br /> TOTAL -EES tti= _ 0 lH; <br /> �V <br /> r <br />` NGTE <br /> Notify the 'San Joaquvn Local <br /> Health District. of 8:y /•��pp <br /> corrections or chairae5 <br /> necessary . Your perfitlt. Will <br /> be mailed tFOireceiPi <br /> payment and approval _r i <br /> facility . <br /> Return payfftefit aloe g w i.h Cilie <br /> copy of thi5 Eta t.etri-?t tc' <br /> tiAW JOAQUIN L.07AL HEA'LIH L)i'.1RICi <br /> ENVIRC;NFIENTN- HEALTH <br /> P.O. BOX <br /> STOCKTON, CA 95201 <br /> Penalties will be added after` <br /> due date as stir_wni <br /> `01'days 100% of rase ree <br /> :.vy .yaw <br />