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1 <br /> SAid JQAQ'UIN LOCAL HEALTH DISTRICT <br /> z Ave. , P.O. Sox 2009 . <br /> 116.01 E. Ha_elton fli_. , I �:. <br /> . 1 B <br /> Stockton, CA 95201 <br /> (209) 46-8-34'25 . <br /> Jogi Khanna, M.D. , Health Officer <br /> EZFOO25a703b <br /> E-Z SERVE, INC. E-Z FOOD 7 <br /> P. 0. BOX 3550 2537 WATERLO 'RD. <br /> ONTARIO, CN 91761 STOCKTON,..CA 952;5 <br /> Billing Statement For 19_"" Permit, Underground Tank Facility. <br /> Statement Date January 15, 1928 <br /> Payment. Due Date; February 15, 19:- <br /> Facility Fee; 100.00 <br /> Container Number; 0001 50.00 <br /> 0002 50.00 <br /> 0003 50.00 <br /> TOTAL FEES DUE $250.00 <br /> NOTES; <br /> Notify the Sar. Joaquin 'Local <br /> Health District of any <br /> corrections or changes <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 /> � �SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> EWIVi NitENTAL_KEAJH PERM!T/SER'JICES <br /> P.O. BOX 2009 <br /> STOCKTON, CA 95201 <br /> Penalties will be added after { <br /> due date as shown; <br /> 30 days - 100% of Base Fee . <br />