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PtIRLIC HEALTH SERVICEMAN J13AQUIN COWTY <br /> 1601 E. Hazelton Ave.., P.C. Boy, 2009 <br /> Strckton, CA 95201 <br /> (203) 462-3425 ppYMENT <br /> J69i Khanna, M.D., Health Officer RECEIVED <br /> Ett1992 ,►AN 10 1990 <br /> LADE ELLIS EL LIS CAR WASH SAN C HEAL N COUNT <br /> <br /> LORI„ CA 95240 ENVIRONMENTAL HEALTH DIVISION <br /> Folling Statement For 13% Permit, Underground Tank facility. <br /> V;'Statc*ent_Date__L amary„Z'.1 _ <br /> Payment Due Date February 2, 1990 <br /> Facility Fee; 100.(0 <br /> Container Number: 0001 50.00 <br /> 000`2 -- ---M- :Yv- - <br /> 0003 50.00 <br /> 0004 50.00 <br /> TOTAL FEES DUE —5300 W <br /> NOTES: <br /> Notify Public Health Services, <br /> San Joaquin County of any <br /> corrections or changes <br /> necessary. Your permit will <br /> t¢,mailed upon receipt of <br /> payment and approval of <br /> facility. <br /> Return payment along with one <br /> copy of this statement to: <br /> P'JB'LIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICra --- <br /> P.O. BOX 2009 <br /> STOCKTON, CA 9520, <br /> Penalties will be added after <br /> due date as shown: •t <br /> 0 days - 100% of Base Fee <br /> - <br />