Laserfiche WebLink
SAN JC!AQ ..n. LOCAL HFALIH DISTRICT iJ <br /> 1601 E. Hazelton Ave. , P.O. Box 2009, <br /> `:t-ock ton, CA 95201 <br /> (209) 468-:3425 <br /> Jo9i Khanna, M.D. , Health Officer <br /> NICK 6ENHITI . 3r' NIC:f GENEHFTI , <br /> ' <br /> : 'i!JCk;T!1N, CA 35'2! 5 �1:- <br /> 989 <br /> Billing Statement. FoFor , F'ei'iitit, Uiidergrcni-nJ Tank: Facility . <br /> Payment Due Date, Sept.e!;tt,er i , 1989 <br /> Facility Fee; i00:ui? <br /> Container Number; 0001 50.00 <br /> TOTAL FEES DUE $i5o.00 <br /> NOTE'S; <br /> No`ify' t.i'tE 'w r: JUaGiair; Lr[al <br /> He_.': Ct i17 an, <br /> c0Vrection5or changes <br /> necessary . Your permit will <br /> be mailed upon receipt of <br /> payment and approval of <br /> I <br /> acility . <br /> Retur;-, paymeri alo-frg with one <br /> COPY of 'ns SLateli:ent to; <br /> SAN .JOAQUIN LOCAL HEALTH DI ;TRIC:( <br /> ENVIRONMENTAL HE,iL-tH PEE <br /> FIM 1T/SERVIC'ES <br /> BOX 2009 <br /> r. <br /> STOCKTON', CA 9S-,Ol <br /> Penalties will t,e v6-le,' <br /> due date as shown <br /> 30 rla1(10% of Ease gee - — ----- <br /> rrj(li1�� � eQ� <br />