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PUBLIC HEALTH SERVICES <br /> SAN JOAQUIN COUNTY =` y <br /> JOGI KHANNA M.D.,M.P.H. <br /> Health Officer <br /> C` �P <br /> P.O. Box 2009 • (1601 East Hazelton Avenue) •Stockton, California 95201 4cr cone <br /> (209)468-3400 <br /> Roto- Rooter <br /> P.O. Box 31300 <br /> Stockton, CA. 95213 <br /> ROTOR34 <br /> BILLING STATEMENT <br /> FOR <br /> UNDERGROUND STORAGE TANKS <br /> RE: 3480 E. CARPENTER RD, STOCKTON, CA. <br /> BILLING FOR 1991 PERMIT TO OPERATE AN UNDERGROUND TANK FACILITY: <br /> FOR PERIOD BEGINNING JANUARY 1, 1991 AND ENDING DECEMBER 31 , 1991. <br /> STATEMENT DATE: March 1, 1991 <br /> DUE DATE: April 1, 1991 <br /> CONTAINER FEES: 0001 $170. 00 <br /> 0002 170. 00 <br /> 0003 N/A <br /> STATE SURCHARGE <br /> FEE: 0001 $ 56 . 00 <br /> 0002 56. 00 <br /> 0003 N/A <br /> 0004 N/A <br /> AMOUNT DUE: $452 . 00 <br /> Penalties will be added after <br /> due date as shown: <br /> 30 days - 100% of Base Fee: <br /> NOTES: <br /> Notify Public Health Services, <br /> San Joaquin County of any <br /> corrections or changes. Your <br /> permit will be mailed upon � o <br /> receipt of payment and �"1 �ECq <br /> approval of facility. t <br /> Return payment along with one <br /> copy of this statement to: <br /> Public Health Services - pw <br /> Environmental Health Division ' 4 <br /> P.O. Box 2009 A MF ugst.fil <br /> Stockton, CA. 95201 <br /> (209) 468-3427 Spry �f,?,? ^ <br /> fry �8 4�-tAt��OPI�S <br /> DlVig�O,. <br /> A Division of San Joaquin County Health Czcc Services <br /> �I <br />