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SAN jOAQUIN LUCAS HEALTH DISTRICT <br /> 1501 E. Hazelton Ave. , P.O. Bo x 2009 <br /> Stockton, CA 96201 <br /> 209) 468-3425 <br /> Jo9i Khanna, M.D. , Health Officer <br /> HAMME 77 <br /> HAMMER LANE SHELL ##4 HAMMER LANE SHELL #4 <br /> 7700 MORE.LAND COURT 7700 M RELr ND COURT <br /> : TOCk:TON, CA 95212 _:i OCK I UN, CA 95 2 12 <br /> Billing Statement For 1958 Permit, Underground and i ank Fac 11 t•y. <br /> Statement Date , January 15, 198 <br /> ' • ,, j <br /> �'�cYtgt%t'it. ��t,1t Date; Frt�r•U•=pry 1.`�, .�pc; <br /> Facility FNumber : <br /> er; 1i)i; .00 <br /> Container Numbe r i 0001 �``?�),OO <br /> C�00 its .00 <br /> 0003, 50.00 <br /> 000S <br /> TOTAL FEES DUE $300.00 <br /> NOTES: <br /> , <br /> Notify the `:an joaqui l Local <br /> Health District of any <br /> corrections or changes <br /> necessary . Your permit. will <br /> 1 <br /> . ,st _1 <br /> i be mailed upon 'P ceipt of <br /> 3 payment and approval o <br /> j facility . <br /> Return payment wong with one <br /> copy of this statement to: <br /> SAN _OAQU I N LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> P.O. BOX 200 <br /> STOCKTON, CA 95201 <br /> Penalties will be added after <br /> due date as shown: <br />!I 30 days - 100% of Ease Fee <br />