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f4 -;A:d ,- :;lyy'.ti_ CO h'Uc;L?C t-.Eri A Scr.4tC;E': <br /> 1601 E Hazelton Ave . , PAVEox 2009 <br /> Ca. <br /> Ali Khan:-:a, M .D. , Health Officer _ <br /> (2095 468-1425 <br /> ENVIR JNME4�TAL HEALTH PERMIT 'SE VICES <br /> CAROOZA TPUC�':ING _ <br /> P .O. BOX E529 <br /> STOCKTON, CA . 95201 <br /> SEARC22 P <br /> AYMENT <br /> RECeI VEX) <br /> RE) Underground Tank Facility located at: 221 ­(,RD1989_NAL AVE STC1C'-KT-14,C H <br /> �- 989 _ <br /> I filing for ---lira-------- fees for Fern RO,NMENrAie . <br /> PEPMIT/SERVIL HEALTR <br /> Statement Date `_SEPTEMBER 2t., 1989 CES <br /> - <br /> Paynent. Dice Date UPON RECEIPT <br /> Facility Fees; 1989 <br /> $100.00 <br /> Container <br /> Containe) Number <br /> Tank 0001 S000 <br /> Tank 0002 SO:00 <br /> Tank 0603 so 00 <br /> qt � , Tank <br /> TOTAL ES DUE; $250 .00 <br /> if you ,have .any ;chnn,_es o - <br /> eoyrections Please call our <br /> office ,:'iiisedia..'ly U;=•_n • ec iept. <br /> of this <br /> - <br /> s Etcl i.t:1+:'ilt. ... <br /> Penalty ' s will by added after the <br /> due date as shown: <br /> ..ifs - days at 100% of base fee : <br /> SEND ONE- COPY OF THIS STATEMENT <br /> WITH PAYMENT <br /> SAN JOAQU i N COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH JVISION <br /> 001 E HAZEL TON AVE <br /> S OC.I TON, CA 95205 <br /> (209) 4EE; 3425 <br /> r <br />