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F-A <br /> SAN ',C"QA IN LOCAL <br /> H J, <br /> Hazelton Ave- P.O. Box 009 <br /> -7 <br /> ''tocktOrl, CA 92C)i <br /> (20-3) <br /> Jog. <br /> M.D. , Health <br /> P I E NA'1-IOtqWj[)E INC- P 1 ENA20 <br /> 201u/ N. 10L'S'ON WAY P I E NATIONWIDE, INC. <br /> 2007 N. WILSON WAY <br /> STOCKTON., CA 95205 L <br /> STOCKTON, CA <br /> 0- <br /> 8" ling Statel4ent For 1,382 perrflit lank Facil <br /> Statement Gate .1 i ty. <br /> Pay�Fie(qt• Due-Day <br /> e <br /> uary IS, <br /> facility Fee., I o(j.")o <br /> CODtalner Number: 00t)l 50.00 <br /> TOTAL FEES DUE <br /> N,3 CES, <br /> Noti f y the san, <br /> Health District Of any <br /> CcirrectionS.or chan,_;ps <br /> necessary. Qui permit <br /> be Nail 4.1 will P Ay M <br /> Payment ed upon receipt Of R F I'V F-iT <br /> D <br /> and approval of ' <br /> facility. <br /> E B <br /> Relu"' Payment, al--711112- with c,n E. T,,�L HEALTH <br /> Copy 6f this stat. ONMEN <br /> ement to! �NV -6 wvlsu'\/4CES <br /> SAN JOAQ114 LOCAL HEALTH DI--Tf(lr'T <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICE <br /> P.O. BOX 2009 <br /> SFOCKTON.. CA <br /> be a diff&d of t.er <br /> due date as 5hown: <br /> ?0 days Of Base F-t <br />