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R b lC HEALTH SERVICES <br /> SAN MAAQUIN COUNTY PAYMENT <br /> 445 N. Sar: Joaquin 8t., F.O. Boa 3010 RECEIVED <br /> Stou,tvn, CA 95[00 <br /> (20 ) 468-2447 <br /> 091 iharra. 1 a., Health Officer NOV�g 1990 <br /> f(C.1RCU]L, .ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES <br /> CI;NCUIT WORKS, INC. CIRCUIT WRKS, X. <br /> 053 FRAWK WEST CIRCLE I52 FRANK WEST CIRCLE <br /> ST,1UUKTON, CA 95206 STiA K %, CA 9.5206 <br /> r <br /> E,iiiry `dtatf>ment for sen <br /> to Per i-erNir I {?etemL r i 191i <br /> Environmental Heaitt Permit W be issisei for; )= '250 T01% ; 5tw TONS iA <br /> Si.atemernt Date; November i 199(1 <br /> Oue Cate; Oecereter i, 19`it <br /> TUTAL DUE; si2;(KA.00 <br /> Penalties will be added after Notify' the Envir Mffi1tal ileal}h <br /> due date as st*wn, Division of any corrections nr <br /> chaNes necessary. 'Permit. will be <br /> 0 days -100% of Base Fee mailed upon receipt of payment.. <br /> Reiurn Payment along with one copy <br /> Of this statement. to: <br /> Public Health Services, San .Ioaquin <br /> County/Env irco*ntal Health <br /> P. O. Box 24u)9, Stockton, CA 95201 <br />