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SRN JOAQUIN LOCAL HEALTH DI'oTRiC' <br /> 1601 E. Hazelton Ave. , P.O. BOX 2009 <br /> Stc,ckton, CA 9K01 <br /> i209T 468-:3425 <br /> ,logi t -anna, M.D. , Health Officer <br /> XXXXXXXXXXXXXXX James Sullivan XXXXXXXXXXXXXXXX Vacant <br /> <br /> <br /> Billing '3t.ai.cment For 19&9 Permit, Under-,-)round Tank Facility . <br /> Statement. Date January 1, 1939 <br /> Payment. Due Date: February 1 , 1909 <br /> Facility Feel 100,00 <br /> Container Cluri-6cr: 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 arr✓ <br /> corrections or changes <br /> -necessary . Your permit will <br /> be flailed upon receipt of <br /> payment_ and approval of <br /> facility . <br /> Return payment along with one <br /> Copy of this statement to: <br /> SRN .10AQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH PERMI`(fSERVICES ' r <br /> P.O. BOX 2,009 <br /> S170CKTON, CA 9-201 <br /> Penalties will be added after <br /> due date as shown; <br /> c.C7 days - 1007 of Base Fee <br /> 4 <br />