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S-Akil joAtkVIN LOCAL HEMALTH DI"n'TRICT p 4y <br /> I'V <br /> I E30 1 E. Hazze I ton Ave. , P-0- R F- <br /> -:�tockto,n, CA 952'011 <br /> e,209) 46!--,-'4,-,S <br /> M.D. Health Officer <br /> sp <br /> NNT19 mc�s <br /> WI <br /> DOUGLAS WINN 0. H. WINN TRUCKING. INC. <br /> F BOX 24 19,515S N. TULL"T' RD. '3-37 <br /> fLoCKEFORO, CA 952 <br /> LOCKEFORD, ',A-H 99 G 2.-3 7 <br /> Stateffle.Flt C' <br /> r-' i. 3c.:T Uyidergrou-nd Tank Facilit-Y. <br /> T- p <br /> Statement Date Jxnuary i ,29 <br /> payme-f-it Due Dater Lj <br /> Facility Fee: <br /> C'n-citainer Number; 0-001 S0.00 <br /> TOTAL FEES DUE $ISO.00 <br /> 1 <br /> 0 1'E-D"; <br /> Not.-ify the Joa-win Local <br /> Health District of any <br /> CT Chani4r--E, <br /> necessary . Ycur permit will <br /> be mailed 'L4pc.,F, 'ieceiot of <br /> Payment and apPTQV&1 of <br /> facility . <br /> Retur-Fi PaYffte-r,`L• allorig with orie <br /> crjp-y of this stlateffP-Tlt- tO <br /> S <br /> "AN jOr'mQI,11N Lf-,(,"AL HEALTH DIrSTRIC:T <br /> ENVIRONMENTAL HEALTH PERMTT/SERV ICES' <br /> 'B'OX <br /> STOCKJON, CA <br /> penalties will be added after <br /> due date as shown: <br /> :,() <br /> 0 of Base Fee <br />