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PAYMENT <br /> r- , 'Ah! ,ilhtUlM l uar;; RECEIVED <br /> 15t lE. Hazelton .- JAPE 2 s 19 <br /> j .., <br /> Oa) 46:3- <br /> jogi Khanna, i9.D.. , Hea i i.i i J, i cu:: ENVIRONMENTAL HEALTH <br /> r '.. . PERMITISERVICES <br /> I <br /> RAW0. <br /> JOHNRAY ittPAilY TCstftd Rti`? <br /> 9249 WATERL.00 RD 1�Ss;.WEi'!cRLil : <br /> STOC:KT:iN, f..'A 9S20S _TI� CJ is 4ti_il. <br /> riw <br /> may' <br /> iilllng Statement For iso? rerFult, t!-ioerc�POuiiii ic,ii{, Facii.':ir . <br /> :')tat.ett,etit. Flat.e January i <br /> Rayfuent. We Date: February <br /> Fac 1, t'y Fee; ivO.Ui) <br /> Container NumbAi.: C).:'i)y '. <br /> (100121 SO 00 <br /> 0'-1103 scl.Ut) <br /> 40TES; <br /> Notify the 'Sall Joaqui)i Local <br /> Health District ;t' aiiY <br /> corrections i.<r changes <br /> necessary . Your pe;'rrit will <br /> t,e [nailed upon receipt of <br /> payment and api:rovai of <br /> facility. <br /> Return payment alorog with c,iie <br /> copy .of this e.tatement. to: <br /> SAN JOQUIN LOCAL HEALTH D1SiR1CT <br /> ENVIRQ MBITAL HEALTH PERM T PSERVICES <br /> P.ct. BOX st)i)'a <br /> ST ICKTON, CA 9520'1. <br /> Penalties will tie added aft.e <br /> due date as shown: <br /> :O 'days 100% , Ba=.£_ <br />