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`. *moo, <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P.O. Box 2009 <br /> Stockton, CA 95201 <br /> (209) 463-3425 <br /> Jogi Khanna, M.D. , Health Officer <br /> SWENSOI <br /> CITY OF STOCKTON SWENSON PARK GOLF COURSE <br /> <br /> STOCKTON. CA 95207 <br /> Billing Statement For 1933 Permit, Underground Tank Facility. <br /> Statement Date : January 15, 1933 <br /> Payment Due Date: February 15, 1933 <br /> Facility Fee: 100.00 <br /> Container Number: 0001 50.00 <br /> 0002 50.00 <br /> TOTAL FEES DUE $200.00 <br /> NOTES: <br /> Notify the San Joaquin Local <br /> Health District of any <br /> corrections or, changes <br /> necessary. Your permit will <br /> be trailed 'upon receipt of <br /> payment and approval of , <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 <br /> STOCKTON, CA 95201 <br /> APPROVE[) <br /> Penalties will be added after By <br /> --due date as shown: Aeet # <br /> 30 days-- 100% of Base Fee <br />