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PUBLIC HEALTH SERVICES <br /> =(iN .Ji GH(;I:IN C: �I1N CY" <br /> 4A N. c._Hn .Joaquin C.,t.. . P i_i . T;r <: 1CrU9 <br /> ,tock:ton, CA 9S :i;} <br /> (209) 4E,8- :,447 <br /> jogi Khanna, N .D . , Health Officer <br /> PA HE I rZ 7E• <br /> HEINZ U . S .A . -DIV OF HEINZ CO . HEINZ U ,_. . A . -DIV OF HEINZ CO . <br /> <br /> TRACY, CA 95:37:=; <br /> Billing Statement for `ervice Peri-od ending: December ;1 , .1991 <br /> 'Er4ironrnental Health -Permit' to opsrate' a Hazard +us Wast Gar,Nrato Fatility " <br /> bxt ed on Hazardous Wast-7, manifested, in 19,30. = 5 TONS < 25 TONS HAZ W <br /> '=.t.ateme,nt Date ; Ncive tuber 1 , }991 <br /> Due Date Dec eiitber 1 .2 ! -;q4' <br /> TO?AL Dt3E ; 1 261 00 <br /> Penalties will be added after Notify the F-nvironriental Health <br /> due date as shown : Divi`_iv-rn t_�f i 'troy. C_1n -• <br /> reCtlC+InS or <br /> changes necessary . P=r(i:it will be <br /> K day_. -100% of Base Fee mailed UPOn reCE: IPt. of P;;kYI`Reint- . <br /> �0 Return payr�ient aloVng wits one copy <br /> T1 . =ef . this 5tat.,_metnt. to : <br /> San .Joaquin Public Health Services <br /> •j <br /> Environmental Health Perrfa t./Ser,vi c�- <br /> ✓/ P . 0t:,,x 2,609, =tock:ton, CA '35201 <br /> PAYMENT <br /> RECEIVED <br /> NOV 13 IC111 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HF4TH <br />