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OT <br /> j' SAN, JOAQUIN LOCAL HEALTH E s �-R I CY <br /> ifa41 <br /> E. Haze I tun Ave. , P-0- Box 2WS <br /> Stock ton, CA 95201 <br /> . , <br /> (-209) 468-3425 <br /> jog Khaa-i�72�, M.D. , Heal -h Of f i c er" _ <br /> ;. <br /> P'.. ti: BOX 3? 2t3S1 C4X NTRY CLUB _ - <br /> ' �' .. FRENCH CAMP, CA 95231 STOCKT�i, CA 55:04 ' <br /> ei 1 i ing Statiirr„ent For 1 W Permit, �Vnderground Tank Facility. <br /> Statement Date January - 1, 1989 <br /> - - - <br /> i Payment Due Date: February 1, 198-9 L <br /> rs--�:•.... .. ....+.�rfaT++•-..y.�V�,.�.--- ----:4�..aa+ •.- .-„$�'a'�..�4.�.t: �w••-J�,..'--.> -` _�_ .-.-a - �.- <br /> �._ -.�1-,;.ter �• <br /> - Facility: Fee: 100.00 <br /> Container Number 0001 so.00 <br /> ." 0002 50.00' <br /> TOTAL FPES DUE yV200w00 <br /> • <br /> �t.i.f'y -tire Sari Joaquin 1.0cal R,�CtetiVE� . <br /> Health Distilict of any <br /> -corrections or charges <br /> necessary. Your permit will a� 19x3 <br /> tie mailed upon receipt dt- HEALTH <br /> Payment and approval of _ ONM VICES <br /> facility. / PEWISEK <br /> Return payment-. along witti one : ti <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT r � <br /> ENVIRONMENTAL HEALTH PERMITISERVICES <br /> PO. BOX 2009 <br /> r STOCKTON, CA • 35201 <br /> cu ' date as's1tr+: <br /> � e' � ,. 3,.; "err ' a. ♦ 7 .n a 'fix - -'-' '' t:` <br /> Sts-.ye}• i* 4 "` _ - •f ~„ '',s::•`,"' . <br /> 30 a <br /> y � 6 .sem_ `:� `x i`•i.. `, <br /> ✓ t ,.e 'r n _ Y"-ix3:.Y i!•::•' %Y- .W_ a;=' • / <br /> i 1' +, ',r*Y+- Erb"�r:?n+. '--. ;i'7•�+. tR.�Ja- .9k 'C ,=�• 'f•., .`' .� .-'G.�. -.'., t•'.%a+'ei- •:.,i' "-, .nFF 4 <br />