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Cir#QUIN LCIFHL r. i`-;I'iC:7.. <br /> 1601 E. Hazaltor, A: . , P 0, Cox 20(,' <br /> Stockton, CA <br /> 342 <br /> Tc��ai KhaT-Fia, Ci.U. , Health Off icer <br /> • :���C"1CI�S <br /> • SUNRISE MARKET & LIQUOR:; 171)34 <br /> E 3ERVIE, INC:. <br /> F'. 0. BOX ��;2 :;. W I Lt; rhd WAY <br /> ONTARIO, CA 9176 <br /> ` T00-- ON, CA <br /> E i 11 I r-r Statement For 19"', <br /> Permit, �iliU }'°rou tJ Tar tk: Facility . 8 <br /> Stat}ement. Date Ja}zuar y -1-S -. 1:74;�;_; - <br /> -. F'aymei A, Due Da t•e� Feb-Pu Rr'y <br /> Facility Feet 1t}0,(0 <br /> Container Number, 0001S0.00 <br /> Dl3F`r; c0.Grr <br /> c)t)rj: <br /> S0.00 <br /> TOTAL FEES ©UE V.2s o 00 <br /> NOTE-3 . <br /> Notify t•tie Curt Joa'win Local <br /> HeaI6 District of any <br /> corrections or -changes <br /> necessary . Your permit will <br /> t,e mailed upon .re'ceipt of <br /> payrae'nt and approval of <br /> facility . <br /> Return pra.yment• alon'3 With c1ne <br /> copy of ttjis stateti:ent to: <br /> ;:;AN JOAQUIN LOCAL HEALTH DIgRIC:-i <br /> ENVIRONMENTAL HEALTH FENC'IIT/SERVICE` <br /> P.C. CiX 1�rti' <br /> STOCXTuN: CA 95"(201 <br /> F'eTla i t.i is Will be added after - <br /> due date as fC nOWil: . <br /> �sG days- 100% of Ease Fee <br /> • <br />