Laserfiche WebLink
�a <br /> w <br /> � F' ry {209 F- it6B`d4i, .- ♦.: <br /> n� "31i3i Khariria, M:D. , tie'alth t7fficer ` y <br /> r< r MANDK89 <br /> MAN <br /> fT QRIDVE RD 8960 W WALNUT GKtVE RD- + <br /> THORNTON, CA '956% <br /> roe�ht For 1991 Permit ground Tank Facility. <br /> t Date = s`January 7, 1991 J <br /> Daae Date) February 7, 1991 <br /> t ' Contaner fee. 0001 170.00 <br /> 'Mate surcharge 0001 56 ilia' <br /> { , Container fee 0002 170 ,00 <br /> State surcharge 0002 56 00 ` <br /> Container fee (M3 170.E <br /> ., State surcharge 0003 56.00 <br /> TOTAL. FEES DUE i67O 00 <br /> ."' <br /> Iii Health Services, <br /> 1ta`;CpLw+ty of any <br /> cFw+yes 7 <br /> ti< -Your pakrmi t will <br /> _• retelpt of <br /> and: appr011 of <br /> rtyl+ ht aXwi th one q <br /> Fof thlg sta <br /> tftent to: <br /> l. $ERVICES <br /> Ii CO LAITY <br /> HEALTH PERMIT/SERVICES <br /> ` 01 bO a 4ded of ter <br /> atAklse Fee <br /> s <br /> ate,. <br /> k <br /> f <br /> r: <br />