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i <br /> PUBLIC !I, cEft'JiE: , .Aid JvAy;UId CtUhiv,.WoO � <br /> f s 445 la, .Sari Joaquin Street (NOT A. MAILING ADDRESS) ?//7 <br />( , P.r. Box 20fn3 .� <br /> to 95201 j <br /> dtf�5, <br /> 468-- 4f <br /> ( Jogi Khanna, M.D.,, Health Officer <br /> SAN'C X52 1 <br />( S.J. DELTA LOLL/ <br /> <br /> MANTECA, CA 99330 <br />( ( <br />( <br /> Billing :statement For 1991 Permi t, Un„der_around artk: Fac i I i ty . { <br />( <br /> Statement 'Date i January Y iC , 1992 <br /> Payment Due Date. February 10, 1992 , <br /> I [Intal"trey` fGe :i <br />( 0002 170'00 <br />( TOTAL FEES DUE 3dG.00 � <br />( <br />( 1 <br /> NOTES; <br />( <br /> Notify Public Health Services, <br />( San Joaquin County of any <br /> corrections or changes*".11--. - <br />( necessary. Your Permit will <br /> be mailed upon receipt of <br /> Payment and approval of <br />( facility . <br /> Return Payment along with ne <br /> I copy of this statement to: i <br /> I PUBLIC HEALTH SERVICES <br />( <br /> SAN JOAQUIN COUNTY <br />( ENVIRONMENTAL HEALTH PERMIT/SERVICES KC 7- <br /> P.O. BOX 2009 <br />( STOCKTON, CA 95201 J <br />( Penalties will be added after PAYMEN ' <br />( due date as shown: REC ElVE® I <br /> ^' days - 100% of Base FeeloRO NCO Tv <br />( SAN 1 E QAN <br /> F 4 S H D VESION <br />( PU3LIC <br />( SNVIRONM <br /> I <br /> I <br />( ( <br /> I <br />