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PAY <br /> F iBLIC� HEALTH b1 E T <br /> SAN JOAi;t 1N ' RECEIVEE D <br /> 44; $a? Joaquin ' i _.. <br /> 3tockt,,n. CA jss>i NOV 261990 <br /> ENVIRONMENTAL HEALTH <br /> Jogr 'manna,-;1 U , Health Officer PERMIT/ <br /> SERVICES <br /> �gsco bELT�1 L YC 14se 6 OEL j<4 S�/G <br /> 0S N. CARLTON AVE. 705 N. CARLTON AVE. �x <br /> SWMIN, CA ;1,-"'3 ST'ICKTiutl, GA 95203 <br /> 'Itrt.ek-rit for _,ervice Wild endin Uelember 31, 15"_+1 <br /> Environmental Health remit to tel i'ssf r; 'r= 5 TONS' 25 TONS HHZ ip <br /> :rytateMni. Date: NoveNaber 1 19% <br /> Due Uate: oecer fJer lr 17r 11 <br /> �. TOTAL Dint $120.UK) <br /> 1` <br /> l/ <br /> Penalties All be aodea after Notify the Environmental Health <br /> due date as. sb_vn: Division of any corrections or <br /> charges necessary. Permit will be <br /> V days -i00% of Base Fee mailed upon receipt of Payment. ; <br /> Return Payment atom wi-th one roay <br /> of this stateRen _t <br /> P3hlic Health cervices, San Joaquin <br /> County/Envirawntal Health <br /> Y. Box 2003, Stod!.ton, CA 95X01 <br /> r <br /> 2l <br /> N O'V n i7 <br />