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PUBLIC HIEALTIJJ-;ERVICES <br /> L � AN JOA�01N COUNTY L <br /> " IY 445 N . n,l .!Joaquin 'tet.. , P .O . Cin:; <br /> '_;tock:t.on, Ca '35201 <br /> r_Cly) 468-0340 <br /> 1 <br /> 1:;QHWCLN11P <br /> SOMCMULL I <br /> Site illiorrr)at-ion) <br /> PGaaE/GA PRO/ERP,I%_-T F . LEE MCMUL.LIN GA!_; DEHYDRATOR .TATIN <br /> 3,7S• N WIGET LN, STE 1, 70 1/2MI S . OF AIRPORT <br /> WALNUT CREEK , CA 459'3 AND PERR I N RD <br /> Services Were L-rovided iql' you by the Envirrnment.l Ha,-y, lt.h Division on <br /> December i , 1992 for REVIEW u INSPECTION 1ir:1 TO 12/ 1i'3:1' <br /> Invoice Date ; APRIL 15, TOTAL DUE ; 11171 . =;11 <br /> ?v f'e:lalt.y Will bt� added each <br /> i() days r- ac,'t invoice date . <br /> PLEASE REPORT C:HANGE? IN THE REV.+RN PAYMENT AL!:NG WITH ONE COPY OF <br /> SPACE PROVIDED BELOW WITHIN THIS STATEMENT Ti', <br /> IS, DAYS OF THE DATE OF THIS <br /> INVOICE . IF NOTIFICATION P. Public Health ' ;er'vice= , Sar) Joaquin <br /> NUTRECEIVED WITHIN THAT TIME C.unt.vlEnvii^o)vieilt.al I':e ,lth <br /> PERIOD, THE PARTY IDENTIFIED P . !"! . Ego: : 2ir 'a, !=a.,_,cE: t.o'n, Ca 05201 <br /> ABOVE WILL BE LEGALLY RE'P N-- <br /> !_;IELE FOR THIS'; BILL. . <br /> IF THE ABOVE BILLING ADDRESS IS NOT CORRECT, PLEASE INDICATE BELOW ! <br /> NAME ! -... -- — -- - -- _ --- ---- --- PHONE <br /> AGDRE' =; ;------ - ---- -- -- - - ------ ------------------------------ _ <br /> CITY STATE ZIP <br /> • <!,, ,� �sl PAYMENT <br /> h RECEIVE® <br /> MAY 0 3 1993 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br />