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-,AN JOAVUIN LOCAL HEALTH D1'z"5TR I CT <br /> 1601 E. Hazelton Ave. , P.O. Box 2009 <br /> 'Stocktor-, CA 98201 <br /> (209) 463-3425 <br /> jog i Khanna, M-0 Hea I th Officer <br /> TIKIL12 <br /> HORST HANF T I K I LAG 1N RESORT AND MARINA <br /> 1298'c". W. MC DONALD RD. 12988 W. MC DONALD RD. <br /> STOCKFON, CA 95206 STOCKTON, CA 95206 <br /> Billing Statement For 1988 Permit., Uncle r-4round Tcank Facility, <br /> Statement Date January 15, 1988 <br /> Payment. Due Date; February 15, 1%.8 <br /> Facility 'Fee; 100.00 <br /> Container Number; 0001 Go.00 <br /> TOTAL FEES DUE $ISO.00 <br /> NOTES <br /> Notify the ::;an Joaquin Local <br /> Health District of any <br /> r-or-Pei ti(iris op changes <br /> n8cessary . Your permit will <br /> bL- f(lailed -uporl recpipt of <br /> payment and apprcival of <br /> f ac il i ty. <br /> Return Payment alona- with one <br /> cop-Y of this staterfient to: <br /> SAN JOAQUIN LOCAL HEALTH DIS"TRIC-1 <br /> ENVIRONNE-NTAL. HEALTH PERM IT/SERV ICES <br /> P.O. BOX 2009 <br /> HA <br /> STOCKTON, C 95201 <br /> Penalties will be added after <br /> due date as shown: <br /> J0 days - '100% of Base Fee <br />