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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1501 E. Hazelton Ave. , P.O. Box 2009 <br /> Stockton, CA 95201 <br /> (209) 458-3425 <br /> Jogi Khanna, M.D., Health Officer <br /> SWENSOl <br /> CITY OF STOCKTON SWENSON PARK GOLF COURb <br /> <br /> STOCKTON, CA 95207 <br /> ,illing St.at.ement. For 1989 Permit, Underground Tank Facility. <br /> Statement Date : January 1, 1989 <br /> Payment Due Date: February 1, 1989 <br /> Facility Fee: 100.00 <br /> Container Number: 0001 50.00 <br /> 0002 50.00 <br /> TOTAL FEES DUE X200.00 <br /> OTES: <br /> Notify the San Joaquin Local <br /> Health District of any <br /> corrections or changes <br /> necessary. Your permit will <br /> be mailed 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 m p <br /> P.G. BOX 2003 u in <br /> STOCKTON, CA 95201 <br /> Penalties will be added after <br /> due date as shown: <br /> al days - IOOz of Base Fee PAYMENT' <br /> RECEIVED <br /> JAN 3 11989 <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES <br />