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PAYMENT <br /> ER RECEIVED <br /> SAN J10AQUOC <br /> IN LOCAL HEALTH D1,S*TRICT <br /> 1601 E. Hazelton Ave. , P.O. Box 2009 FEB G 1989 <br /> S`t.ockton, CA 9,S201 <br /> (209) 463-3425 ENVIRONMENTAL HEALTH <br /> jogi Khanna, M.D. , Health L"'Ifficer PERMITISERVICES <br /> HAYRLE 2 <br /> -, <br /> JUAN ITA LANG HAYR la-('30GG P R 13 D U-'--E R"3- <br /> .. -% -D <br /> 12S6S "%'. MHANTHE-*Y RD. 1"SGIS S. MANTHEY RD. <br /> LATHROP, CA 35:'3 0 L4HROP, CA 353-31) <br /> P i 11 i ng t t-e r i,e T i t F c-1- I Permit., J-i-;d e T-.1 r c u n d Tarek F a c i I i t.y . <br /> Statement Date January 1 , 19> 9 <br /> Payment. Due Date: February 1, <br /> Facility Fee: 100.00 <br /> Containe-r Number t 0001 60.01) <br /> 0002 50.00 <br /> 000.3 5O.00 <br /> 0004 50.CIO <br /> ---------- <br /> TOTAL FEES DUE $300.00 <br /> NOTES: <br /> Notify the San Joaquin Local <br /> Health District of any <br /> corrections or changes <br /> necessary. Your permit will <br /> I=re 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 /> ENVIR13NMENTAL HEALTH PERMIT/SERVICES <br /> P.C1. BOX <br /> STOCKTON, CA 95201 <br /> Penalties will be added after <br /> due date as shown� <br /> 30 days 100% of Base Fee - <br /> 00 <br />