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KkIC 4ALTH SERVICES w ,lAUIN COUNTY f <br /> dd5 N. Sara Joaquin Street lli� A MAILINE AWccSS7 <br /> P.D. &« 2009 <br /> Stockton, CA 35? l <br /> t'209:% 468-,3427 <br /> Jogi Khanna, MG.. Health Officer <br /> CM*'0 I <br /> KIR C Y*Is (RUCK Sftp KiR COGY`:i lIMK :IRF' <br /> <br /> TRACY, CA 35376 <br /> I I <br /> Eili N Stateaent For 1931 Permit, Undergrourd "tarsi: FaciiitY <br /> 'itattoent Rate % April 3, 1991 <br /> Payuknt Due Dale; Say 3, 199i <br /> Container iee 00in 170.00 <br /> 0002 170.00 ` <br /> 0003 170.00 <br /> 0004 170.00 <br /> 0005 170.W <br /> 0006 170.00 1 <br /> WO 110.00 <br /> 170.00 <br /> NOTES; TOOk FEES RUE sI,360.00 <br /> Ndify Public Hcalt,, services, - - <br /> sar, J-aAiin Uuntr cd any I <br /> correcticins or chanws <br /> necessary. YO'Jr Permit will <br /> it be wiailed upon receipt of <br /> payment arfo approval of <br /> facility <br /> I <br /> Return payment alok:i with GTk <br /> ru.y of this statement W I <br /> I <br /> PUKIC iULIH KR'I iUSSAN I <br /> TY <br /> EW4JK 4HAL HEALTH PERMiiiSERUiCB <br /> P.R. BOX 203 <br /> 3iOC:KIM CA 95.201 I <br /> Perlalties will be added after <br /> due date as -'fwl, <br /> 30 days - 100% of Ease Fee <br /> I <br />