Laserfiche WebLink
t <br /> .t1 <br /> / �. 14� <br /> (. <br /> AN JOAt#U1N LOCAL HEALTH D <br /> 1601 E. Hazelton Ave P.O. <br /> Stockton, CA 95201 <br /> 0097 460-3425 <br /> Joai Khanna, M.D. , Health Officer � ��v� <br /> t;RLVE 1 2 , 1g8. <br /> <br /> <br /> MANTECA, CA 95336 <br /> Billing Statement. For 190'! pert0it., Undergrau'nd Tank Facility. <br /> S&A-Cement Date July 1 X19 + <br /> i r1• -_ - - 1 �'"i�+'YY ;:-MYfivaiW4.Y.s..+.Awn. +,.-.5"r��`*• y _ <br /> Facility Fee; 100.00 <br /> Container Number; 0001 50.00 <br /> TitTAL FEES DUE $150.00 <br /> au,fES: <br /> Notify ':.he 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 /> Ret.urr ':'ay[i,ertt. along With one <br /> _cWt.of •this statement to; <br /> SAN JDAt111W LOCAL HEALTH DISTRICT 1' <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> P.O. BUY, '"1009 <br /> STOCKTON, CA 9501 <br /> Penalties will be added after <br /> due date as shown: <br /> 30 days - 100% of Base Fee rr11 <br /> f <br /> i <br /> ...—...�....�...»www.,....'-^r.,e,...+..wre '.+;�—,..• .�� ._—._ <br />