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PUBLIC FFATH SERVICES <br />SAN JOAQUIN COUNTY <br />445 N. San Joaquin St'., P.O. Box 2W9 <br />Stockton, CA 95201 <br />(20) 455-3447 <br />Jogi Khanna, M.O., Health Officer <br />PDSIMPL.16 <br />J. R. SIkLOT CO. J. R. SIMPLOT CO. <br />P. 0. BOX 196 16777 HOWLAND AVE. <br />LATHROP, CA 95330 LATH', CA 95330 <br />Billing Statement for Service Period ending: December 31, 1991 <br />Environmental Health Permit to be issued tor; )= 250 TONS { 500 TONS HAZ W <br />Statement Date: November 1, 1990 <br />Due Date: December 1, 1990 <br />TOTAL. DUE: 512,.Gt7 <br />Penalties will be added after <br />due date as shown: <br />30 days -100% of Base Fee <br />Notify the Environmental Health <br />Division of any corrections or <br />changes necessary. Permit will be <br />mailed upon receipt of payment. <br />Return payment along with one copy <br />of this statement to: <br />Public Health Services, San Joaquin <br />County/Environmental Health <br />P. O. Box 2009, Stockton, CA 95201 <br />PAYMENT <br />RECEIVED <br />N O V 2. 6 1096 <br />SAN JOAQUizN .:NT'Y <br />PUBLIC F-Ii=ALTS <br />ENVIRONMENTAL HEALTH DIV€SIGN <br />