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`r,,;r •� T �r '� ��r�{y�plY '' <br /> 1bQ1 : Hez lin Ave., P.O. F3 X'm a : <br /> St,cktcn CA 95201 <br /> `( {fi�SS L t .•`r <br /> 1209) 4t3-3425 r <br /> Jogi Khanna, M.D., Health Officer <br /> UATER43 OA� <br /> UTAl ERLW SIf IL WATERLOO bi1eLL ' Af 1 <br /> 4:15 WAIEkLOO Flu. 4`i15 LIATERLOO hu. , /�' /�/�;•� <br /> STOCK T ON, CA '135205STUGI;I 0N, CA 95205 s i) , <br /> P AN J0 Sc,� <br /> fNV/ONM� r�'� <br /> 81:111-1-19 Statc-ment For 1550 Permit, Underground tan►, Facility. N�Aci•y <br /> #aGewent Date . January <br /> PaNeiit Dur ME: FebruaTy 2, 1990 <br /> Facility Fee; iU0.00 <br /> Container Number; 0001 50,00 <br /> 0003 <br /> 0004 50.00 <br /> Uc1U4 Lu.00 <br /> TOTAL FEE: DUE tiGtl.tK� <br /> Notify Public Health Services, <br /> San Joaquin County of airy <br /> coprections or chane <br /> necessary. Your perruit will <br /> be mailed upon receipt of <br /> payment and approval of <br /> facility. <br /> Return p0ment along witt', one <br /> copy of fl-lis stateri�ent to, <br /> PUBLIC HEA TH wER1�IC:E; <br /> SAN RfAvtliti C=OUNTY <br /> EiN+IIRONt-iEN'iAL HEALTH PERMIT/SERVICES <br /> P.O. BOX 2009 <br /> 4FOCK.Ott, CA 95'201 <br /> Penalties will be added after <br /> due date as sho4ir,; <br /> ;=v says - 100 of Base fee y <br /> t <br /> ti <br />