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PUBLIC HEALTH SERVIC�..4SAN JOWIN COIRJTY <br /> 1601 E. Hazelton Ave., P.O. Box 2009 <br /> Stockton, CA 95201 <br /> !2091 468-3425 <br /> Jcgi Khanna, M.L., Health, Officer <br /> ELLISK <br /> LANCE ELLIS ELLIS C&-WPM <br /> <br /> ,, A <br /> Billing Statement For 19'.'4j Permit, Underground Tank Facility. / <br /> :Statement Late ; January 2, 19'30 <br /> Payment Due Date: February 2, 19% <br /> Facility Fee; 100.00 <br /> Container Number; 0001 50.00 <br /> Owb 50.00 <br /> 0003 50.00 <br /> 0004 SO.OO <br /> TOTAL FEES DUE $1400.00 <br /> NOTES, <br /> Notify Public Health Services, <br /> San Joaquin County of arty <br /> corrections or chanigts . <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 /> P'% IC HEALTH SERVICES <br /> SAN JWIIN COUNTY <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> P.O. Evil 2CO <br /> SIXXTOV, CA 95201 <br /> Penalties will be added after <br /> due date as shown: <br /> 30 days - 100% of Past Fee <br /> i <br />