Laserfiche WebLink
PWL1C HEALTH v JCIA IN WUN!'; <br /> 44S N. San Joaquin ,*A MAlLINS AW ES�r <br /> P.0. €'.r x 2009 1\01 <br /> Stockton, CA 95201 <br /> r .�,........ UM) 468-3427 <br /> 3oi3f kbanna, M.u., Health Officer 4` <br /> PAYM <br /> cl E T <br /> C <br /> f�tT u �cET �1 <br /> V <br /> ; T. WAKE �► Ewa hT. DiAko sAN�AY p 6 <br /> ST :TON. CA 95203 STOINTGN, CA 95Lv'a � p�8�r��ApUTIv � <br /> N l ftq W Ek rM SaWNry <br /> L y� <br /> illi;e3 'atateaetot For 1 `.i1 Permit, tirrgrc�.�n Tank Facility. pfV/sa,, <br /> Statment Date ; April 3, 1,30, <br /> P;3?it nt Dui f4teMay 1991 <br /> (zinta icer f ee (01 170,()0 <br /> State surcharge 'NO1 56.00 <br /> Container fee :wi 170.(* � <br /> State surcharge 6002 S6.00 <br /> Container fee W 170.fy) <br /> State surcrfarge 0003 56. <br /> TOTAL FEE'3' DUE $678.00 <br /> XTES: . <br /> Nc=ti€y Public �*alth Se�.vicc-s: <br /> Sari 3capin COUTlty 9f any <br /> [cwrecticFns of rchan;*5 <br /> necessary. Your permit gill <br /> to mailed urn receipt of <br /> payment and wro al of <br /> faifl,ity: <br /> Return payment aping with one <br /> copy of this st•at•ewnt to, <br /> PUBLIC i1EAEI^N SERVICES' <br /> SAN OWLIN COUNTY <br /> ENUIR ENTAL HEALTH PERMITISEFVICES <br /> P.el. BOX 2W19 <br /> STOCKTON, CA 552,31 <br /> Penalties will be, added alter <br /> due date as s' t m <br /> 30 days - ; IA' of Base g=ee <br /> Ok <br />