Laserfiche WebLink
PUBLIC HEALTH :EhViCS; AN. {UAOUIN COUNTY � <br /> j <br /> 05-N. .baauin ' treet (NOT A. MAILIh'+ ADDRESS) � <br /> r.0Pox 2009 j <br /> j Stockton, CA 9:201` J <br /> j (209) A_8- A27. j <br /> j Jogi Khanna, M.G. . Health Offi;er j <br /> CAL I a-. <br /> <br /> <br /> TRACY, CA 94371, <br /> j <br /> Billing Statement. For 19'+_ Permit., Ili ornr9r?ul i ank. Fa_ i t <br /> i <br /> Statement Date January i . 1y1 <br /> j Payment Due Date; February 1, 1990. <br /> i <br /> C:cntaIIlei' fee O001 170.00 <br /> I <br /> j TOTAL FFE5 DUE 170.0r <br /> I <br /> NOTES: <br /> j Notify. Pubi`i-C--HaaltPi" - <br /> San Joaquin -County of any <br /> corrections or changes <br /> necessary. Your permit will <br /> j he mailed upon receiPt 'of <br /> payment and approval of ; <br /> fe6IIity <br /> Return payuent along with one <br /> copy of this stateruent to: <br /> PUBLIC HEALTH SERVICES <br /> SAN JOA(fUIN COUNTY <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> j P.O. BOX 2009 <br /> S-IOC:KTON, CA 95201 <br /> I PAYMENT <br /> Penalties will be added after RECEIVED <br /> due date as shown: DEC 2 81982 <br /> 30 day=_. - 100% of Base Fee pUAN JO HEALTH COUNTY <br /> SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> I <br /> v,w <br />