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! �� — -- -- --' --' ----- --- <br /> � F��L}t <br /> . <br /> | 44� NSan in Street (NOT A MAllNK-3 AUL } / <br /> 2009 | <br /> �tockt�o, CA <br /> ' | <br /> | (209) 468-3427 � <br /> ' Jogi Khann�, MLI , Health Offi[ar | <br /> / <br /> | <br /> | / <br /> / �A[:AM17 <br /> � CARP�N[ER CO �NC <br /> / , � R CARP�NT�M co ' INC ` <br /> | P O� 8OX �7� 171�K S HA�LA� HD | <br /> ' ` | <br /> | �AT�RU�, CA 95�30 LATHHUP' CA- '- / <br /> ' ' '~~~` | <br /> ! / <br /> ' | <br /> 1 / <br /> / ��llzng 3tatement �or 19�1 Perm�t, Hnder��ound lank FaciI�ty | <br /> | Statement Date / January 7, 1991 / <br /> | PaymeDt Due Pate" February 7, 1��1 ' <br /> / <br /> | �tate surch�rge A00� 56 �0 <br /> | Container fee 0O01 i/0'(xi <br /> / | <br /> | <br /> TOTAL. FEE� DUE $226 00 \ <br /> ' <br /> } ' <br /> ' | <br /> | <br /> | ' <br /> / | <br /> ! / <br /> / | <br /> | <br /> NO FES ' <br /> / <br /> | | <br /> | Notify PUL,\jc Health Services/ / <br /> / San Joaqui-ol County of any | <br /> / corrections or ��angmes <br /> ec | <br /> | / <br /> / � essary � Your per �t will | <br /> | be o`ai1ed uPnD receipt of | <br /> / paymeOt and appruval of / <br /> | faci}itY / <br /> / | <br /> / | <br /> | Return payment �long with cme ' <br /> ` | <br /> | coPy of th\s statement to� <br /> / ' | <br /> / <br /> / FUi'-LIC HEALlH SVRVl[IIS | <br /> / SAN J0AQUQU�T <br /> IN CY | <br /> | ' <br /> / <br /> ENVIRONMENTAL HEALTH pERMIl/S�RVlC�S \ <br /> 1 PO8 0X 20O94 ' <br /> | 510CKTUN, CA <br /> � Penalties will be added after <br /> as | <br /> / due date show�| <br /> | <br /> / | <br />^ 30 days - 10O% of Base Fee � <br /> | ` <br /> / | <br /> | / <br /> / | <br /> | ^ <br /> / \ <br /> | . ' <br /> ' | <br /> | . <br /> / \ <br /> | . <br /> . ( <br /> | ` <br />/ | <br /> | . <br /> / | <br /> | / <br /> / <br /> | <br /> | / <br /> / . <br /> | } <br /> ) <br />