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� <br /> ' <br /> ~ ' <br /> SAN j[AQUlN LOCAL HEALTH D�STR\CT <br /> 1601 E. Hazelton Ave. / P O Box 2004 <br /> StocktoD, CA 9S2V1 <br /> 'Ing- Khanna, M.D. , Health Cfficer <br /> THRIF76 <br /> THRIFTY OIL STATION #172 <br /> <br /> <br /> , <br /> n -tate For 198� �erm�t, Under�rou�d Tank <br /> g Facility <br /> Statement Date � J�nuary 1 , 1�89 <br /> �ayment <br /> Due Date: February 1 , 1989 <br /> Facility Feel 100.W0 <br /> Container Number: 0001 50.00 <br /> 0002 S000 <br /> 0003 -5O.00 <br /> 0004 S0 00 <br /> --------- <br /> T0TAL FEES DUE $300 00 <br /> ========= <br /> '1UTES� <br /> Notify the San Joaquin Local <br /> HeaLth Qistrict of any <br /> corrections or changes PAYMENT <br /> necessary Your permit will RECEIVED <br /> Lie mai\ed upon receiPt of ' <br /> payment and approval of FE y � 1qA�1 <br /> facility <br /> ENVIRONMENTAL HEALTH <br /> Return payment along with »ne - PERMIT/SERVICES <br /> coPy of this statement to� <br /> SAN JOAQ0lN L0CAL HEAL-[H DlS7RICT <br /> ENVIRONMENTAL HEALTH PERMIT/SERVI�ES <br /> PUBQX 2009 <br /> STOCKTON, CA 9�201 <br /> Pena}ties will be added after <br /> due date as shown,, <br /> 30 days - 100% of Base "'ee <br />