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PUBLIC HEALTH SERVICES <br /> SAN JCIAQUIN COUNTY <br /> 445 N . San .Joaquin St . , P .G . Box 2009 <br /> Stockton, CA 95101 <br /> (205) 468-:3447 <br /> Jogi Khanna, M. D . , Health Officer <br /> PAOMSST80 <br /> STATE MILITARY DEPT (CASE) OMS #24 STATE MILITARY DEPT <br /> PO BOX 214405 8010 S AIRPORT <br /> SACRAMENTO, CA 95821 STOCKTON, CA 55106 <br /> Billing Statement for Service Period ending: December 31 , 155:3 <br /> Environmental Health Permittobe issued for : i= 5 TONS C 25 TONS <br /> St.at.ement. Date : November 1 , 1991 <br /> Due Date: DECEMBER 1 , 1591 <br /> TOTAL DUE : <br /> Penalties will be added after Notify the Environmental Health <br /> due date as shown: Division of any corrections or <br /> changes necessary . Permit will be <br /> 30 days -100% of Base Fee mailed upori receipt. of payment.. <br /> Return payment along with One copy <br /> of this st.at.ernent. tot <br /> Public Health Services, San .Joaquin <br /> County/Environmental Health <br /> P . O . Bol: 2009, Stockton, CA 95201 <br /> ♦D <br /> ^7 W <br /> V � <br /> C; <br /> 3G cn <br /> o <br /> w <br /> I <br /> PEN <br /> ALTY OWING <br />