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I PUBLIC HEALTH SERVICEr , SAN JOAQUIN COUNTY <br /> 445 N. San Joaquin Street (NOT A NAILING; ADDRESS) <br /> 2009 I <br /> ' a Siockt.on, CA 95201 <br /> k209) 468-3427 - <br /> Joli Khanna. M.D. , health Officer <br /> UHAUL45 <br /> I U-HAUL Cu - LODI MOVING CENTER U-HAUL CO- LODI MOVING CENTER j <br /> 749 N BLAC:KSTONE 450 N. CHEROKEE LANE <br /> I' FRESNO, =.A 93701 LOO! , CA 95240 <br /> I I <br /> Billing Statement. For 1391 Permit., Underground lank Facility . I <br /> j <br /> L StatcMent Cate .c 6 — -- Y--, <br /> Payment. Due ;late: February 7 19'=l <br /> - <br /> State surcharge Mot 55.00 ' <br /> Container fee 0001 170.00 <br /> State surcharge 0002 S6.00 I <br /> Container fee 0002 170.00 <br /> State surcharge 0003 EE .00 <br /> I , Container fee 0003 170.00 <br /> TOTAL FEES DUE $676:00 <br /> NOTES: <br /> Notify public Health Services, <br /> San Joaquin County of any II <br /> I corrections or changes <br /> necessary . Your permit will <br /> be mailed upon receipt of <br /> Payment and approval of <br /> facility . <br /> PAYMENT <br /> Return -payment along with one RECEIVD <br /> �opr- e4:-_th�5 E <br /> �ti�t �t :.. _r.... __._ � ...�m_.rv� �,. . JAN 2 5 1E <br /> 991 <br /> PUBLIC' HEALTH SERVICES SAN JOAQUIN COUNTY <br /> SAN JCAHEAL COUNTY <br /> ENVIRONMENTALIC HEALTH LTH I)I SI <br /> ENVIRONMENTAL HEALTH F'ERMIi1SERVICES <br /> HEALTH DIVISION <br /> P.D. BOX 2009 <br /> STOC:KTON, CA 95201 <br /> Penalties atiil be added after I <br /> due date as shown; <br /> 30 days - 100% of Base Fee <br /> Li <br /> I I <br /> I , 1 <br /> + I <br />