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P <br /> 4 <br /> PUBLIC HEALT*Wldi r�e, SAM",I4AQU I N `COUNTY <br /> h <br /> 449 N.` San Joaquin 9 tr*e ' T, A`('N MA L I G-," ORES9 I <br /> ' . I. o <br /> stCBC{ <br /> St ;. ° t <br /> (209Y 4�6-21427,11 11 <br /> Jog i Khanna 0 :He'l th Df f i cer <br /> MEL rKD '• V ,3 PTi6IL. U ,b, ' <br /> 2191 NAVY DRIVE , 983 MOFFAT BLVD. <br /> STOCKTON, C 9 20 NTECA,` CA 96336 <br /> Billing Statement For 1992 Permit, Undergtou aBac i l f ty <br /> „ <br /> Statement` Date i January 10, '1 <br /> Payment Due Dater February ICS, 199? <br /> Pt evi OU4 ,Ba Ince 1j0 . <br /> to <br /> ,,,surcharge,,' ,",.: 0001 �­_'86"00 <br /> �t riee ;.t? cDi0. ' <br /> CSO00 <br /> .170 00 <br /> 'State 'sur charge 000 <br /> #.a�aner f0002 70� <br /> '"'State'sur her. � D�i43S6,00 <br /> Cd <br /> n finer f0003170.CA <br /> ;.$rITE tate �archarge 04 <br /> tonti r fee 0004 <br /> 170.00 <br /> Noti y Public Health 9ervic s, 0 17 r00 <br /> SAn Joaquin County of any <br /> ccirrections or changes <br /> necessary. Your permit will f'T�b�AL`:FEE DUE <br /> be mailed upon receipt of ��am <br /> payment and approVal of. <br /> facility. <br /> Return payment along with one -- <br /> copy of this statement tot <br /> PUBLIC HEALTH SERVICES <br /> `:SAN JOAQUIN COUNTY <br /> r <br /> ENVIRONMENTAL HEALTH -PER, IT/SE VI d� <br /> P.O. BOX 2009 , 171) <br /> STOCKTON, CA 96201 <br /> Penalties will be added after � <br /> due date as shown, ;x <br /> a <br /> 30 days 100% of Basi Fee <br /> b <br /> y <br />