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YIIhLI%: . z.%FL'tH SERVICS, ,SAN JCilQkrIN I:tIWT f <br /> 445 N_ Say,. uiit 'Street (NOTA MAILING €�Q€ ': <br /> r <br /> P,O. Box 2009 <br /> atockton, CA 95201 <br /> f 209 3 468- 427 <br /> ;;;;.canna, M.D. , Hea1th Of f icer <br /> SHERW67 <br /> <br /> <br /> STOC:KTON, CA 5207 <br /> Billing Statement 4 c+r- 1991 Pe-(mit, Underground Tank k FatiIii•Y. <br /> Statement date wcinuari' 7; 1991 <br /> _ - �3tr����r�'tea-1•-'d--.—��;-.�1::};�..,....__._._.��,.._�._-.,_...�. _.___..--.�..�.� <br /> State suf c h ar ge 0001 SC.00 <br /> Container f ee 01001 170.00 <br /> State surcharge 0002 S6.(10 <br /> ontainer fee t.]002 170.00 <br /> State Surcharge 060 1-11S6.00 <br /> Container fee 0003 170.00 <br /> TOTAL FEE'S* aE $6713 00 <br /> Nd ITES; <br /> Notify Public Health :3'ervlces, <br /> Sail joaaquin County of ani'' <br /> corrections or changes <br /> net esssar y . Your permit will <br /> be mailed won receipt of <br /> payment. and approval of <br /> facility . <br /> Return pay:o nt• along with one <br /> copy of this statement to <br /> PUBLIC: HEALTH 'ti ER V i C:E' <br /> SAN JOAQUIN COUNTY <br /> ENVlROWENTAL HEALTH rERMITISERVICEti� � M <br /> P.O. BOX 2009 ANT <br /> S ' �C:k:Tr_Fi , ' C. _�42i)1 ✓A Edi <br /> P sqN J N 3 �Q <br /> Penalties will t e added after ENS'/�N�/9,4Q '� CON/die date as sfmccWn', ENt 47)�C N/ <br /> 30 days 100% of Base Fee y�y1/4 f <br />