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i <br /> Q PUBLIC: HEALTH SERVICES, SAN JDAWIN Cn-iY <br /> 1601 E. Hazelun Ave., F'.O. Box'2tiJ3 <br /> e * Stoc&'ton, CA 55201 <br /> (20'.+) 468-3425 <br /> Jogi Khanna, M.Q., Health Officer PAYMENT <br /> RECE'IVEI? <br /> CARNE18 X x F F B 02 1998 <br /> <br /> <br /> TRACY,, CA 95376 ENVIRONMENTAL ti=AL i <br /> Billing Statement For 19% Permit, Underground Tank Facility. <br /> -StatWnt_Data.- JaFxw 2.-199<L_ __. <br /> rra•,mient. Due Date: FebruarY 2; 19'x( <br /> Facility Fee; 10U.0C <br /> - <br /> U(J2 la). C. <br /> TOTAL FEES RIE $200.00 <br /> NOTES: <br /> Notify Public Health Services, <br /> San Joaquin County of any <br /> Eorrections or chane <br /> necessary. Your permit will <br /> be mailed upon receipt of <br /> payment and approval of <br /> facility. <br /> Return payment along with one <br /> copy of this statement to: <br /> PUBLIC HEALTH SERVICES <br /> ENVIRCVEMAL HEALTH PERMIUSERVICES <br /> P.D. BOX 200`.1 <br /> STOCKTON, CA 55201 <br /> Penalties will be added after <br /> X, k date as shown;: <br /> 30 days - 100% of Base Fee <br /> y <br />