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PUBLIC: HEALTH SERVICES , SAN JOAQUIN CU <br /> 446 N. San JOa'Tuin Street. !NOT A MAILINu <br /> P.O. Sax;_:009 <br /> Siocxtori, CA 9 201 <br /> ( 0 ) 4E8-3427 <br /> Jogi Khanna, M.G. , Health Officer <br /> PAYMENT <br /> RECEIVED <br /> :HIWKSS FEB 15 1991 <br /> SHINKO ELEC TRIC <br /> <br /> MANTECA. CA 3_ _ PUBLIC HEALTH SERVICES <br /> -ENVIRONMENTAL HEALTH DIViS,ON <br /> Bill'-"' <br /> - Far 1L!_�1 Perp'it,tdt•e6ient Underground Tarn racitity. <br /> Statement. Date January 7, 1'391 <br /> State surcharge 0003 Se,.00 <br /> Contai-ner 'fee OOU1 _ 1701 00 <br /> 0002 170.00 <br /> State surcharge 0002 <br /> ContaiM':r fe6 0002 t7o00 <br /> State surcharge Or_'04 S6 :-0 <br /> Container fee, Ofj04 7.?t .(x} <br /> ot-ci . 15 <br /> te�5l+!'-C bar .!) <br /> ge , �nFi_tI <br /> r_ <br /> ;:on+.ainer fee 000 <br /> NOTES; <br /> State surchar e :0006 <br /> Container 'l e 000x.; 170.OQ <br /> Notify Public Health ServiceS, State surerarge 000 56.00 <br /> San Joaquin County of any Container fee 0007 i7Cl.00 <br /> corrections or Changes <br /> .netessaf- Yogi, Fer'f0it w'i3I <br /> be mai led Upon recei.Pt. of TOTAL FEES DUE t1 -&4 tlry <br /> Payment. and d-pproval of <br /> *1 . <br /> Return payment along with one <br /> copy of this statement to: <br /> t <br /> PUBL.I( HEALTH SEn'11C:E.3 ` <br /> SAN JOAOUIN COUNTY <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> P.O. BO;X 2009 <br /> S10CKTON, C:A <br /> Penalties will be added after <br /> due date as shown; <br /> 30 days - 100% of oa e Fee <br />