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445 N. <br />Jog i <br />J. R. SIMPLOT CO. <br />LATHROP , CA 95330 <br />.PUBLIC HEALTH '--;Efi V I C:ES <br />SAN .JIN COUNTY <br />Stockton, CA 95201 <br />is 0 ) 468-:31447 <br />Khanna, M.D., Health Officer <br />A, <br />iM'PL1G <br />11.= 1:- qb <br />J. R. S I MPLOT CO. <br />16777 HOWLAND A'VE - <br />LATHR P, CA 'x.53.3. j <br />Billing Statement for Service Period ending., December 1991 <br />Environmental Health Permit to operate a Hazardous Waste Generator Facility <br />based on Hazardous Waste manifested In 19` 0. HAZ W <br />Stens +6Za64-onS�,��ar <br />Statement Date: November q1 19' 1 <br />Due Date: <br />ber <br />TOTAL DUE.,- <br />Penalties <br />UE <br />Pena1t-ies will be added after <br />due date as shown; <br />30 mays —100% of ease Fee <br />'. `,NIT <br />ice= <br />l;.nq <br />a•liEI''.`S� <br />Notify the Environmental Health <br />Division of any corrections or <br />changes necessary. Permit will he <br />mailed upon receipt of payment. <br />Return payment along with one copy <br />of this statement to., <br />':pan .Joaquin Public Health Services <br />Environmental Health Permit/Services <br />P. 13. Sox 2009, Stockton, CA 95'*201 <br />