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� PAYMENT <br /> ,a RECEIVED <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1501 E. Hazelton Ave. , P.O. Boy; 1009 �� J A III <br /> Stockton, CA 95201 <br /> (209) 468-3425 t7 "jAZ <br /> Joni Khanna, M.D. , Health Officer PERMft/SER1/ICES�CTN <br /> DOCT012 <br /> DOCTORS HOSPITAL OF MANTECA DOCTORS HOSPITAL OF MANTECA <br /> P. O. BOX 191 '. 1205 E. NORTH ST. <br /> MANTECA, CA 95336 MANTECA, CA 55336 <br /> Billing Statement For 1989 Permit, Underground Tank Facility. <br /> Statement date :". .'January, 1, 1535 <br /> _ Payment Due Date, February 1 , 153a <br /> Facility Fee: 100.00 <br /> Container Number: 0002 50.00 <br /> TOTAL FEES DUE $150.00 <br /> NOTES, <br /> Notify the Lar, Joaquin Local <br /> Health District of any DWORS HOSPITAL <br /> corrections or changes OF MANTECA <br /> necessary . Your permit will <br /> be nailed upon receipt of Po. wee <br /> payment and approval of <br /> facility. Pi"My"a <br /> Return Payme-t aloe; with w'1irl <br /> copy of this statement to; O <br /> SAN JOAQUIN LOC=AL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> P.O. BOX 2009 <br /> STOCKTON, CA 95201 <br /> Penal ties will be added after <br /> due date as shown; <br /> 30 days - 100% of Base Fee <br /> N © <br /> :JAN <br /> ACCTS naa� vv._ <br />