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55* 905s 7 <br /> Ro�tald Sana/.tz_. ` <br /> PUBLIC HE1.,4H SERVICE=-, SAN JOAQUIN COUNTY`/ <br /> 445 N. San Joaquin Street (NOT A MAILING ADDRESS) <br /> P.0. Box 2009 <br /> Stockton, CA 9S201 <br /> (209) 468-3427 <br /> Jogi Khanna, M.D. , Health Officer <br /> CHEVR13 <br /> CHEVRON USA RON'S PERSONALIZED CHEVRON <br /> P.O. BOX 5004 139 S. CENTER <br /> SAP! RAMON, CA 94583 STOCKTON, CA 95202 <br /> Bii1ing Statement For 1992 Permit, Underground Tank: Facility . <br /> Statement Date January 1-0, 1992- - — -- <br /> Payment Due Date; February 10, 1992 <br /> Container fee 0005/ 170"00 <br /> 0006 170.00 <br /> 0007 i70.00 <br /> 0000 170.00 <br /> TOTAL FEE'_; DUE 4680.00 <br /> NOTES; <br /> Notify Public Health Services, <br /> San Joaquin County of any <br /> corrections or changes <br /> necessary. Your permit will <br /> be mailed upon receipt of <br /> payment and approval of <br /> facility. <br /> Return payment along with one — <br /> copy of this statement to; <br /> PUBLIC HEALTH 'SERV1C:ES <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> P.O. B x 2009 <br /> STOCKTON, CA 95201 <br /> Penalties will be added after <br /> due date as shown: <br /> 30 days - 100% of Base Fee PpYtA04 <br /> REaly o <br /> JAN 2 3 �p�NTv <br /> SBLVCHyA j H01ES\ON <br /> CNV RONMENjAOHEA <br />