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/ PUBLIC: HEALTH -,ERIWn S, :.AN JOAQUIN COUNT <br /> � I <br /> 445 W. San Joaquin Street (NOT A MAILING ADu^nE5'3) <br /> f' <br /> .0 Box 2001 <br />� <br /> Stockton, CA 95201 ^I <br /> 1209) 468-3411 , <br /> Jogi Khanna, M.D. , Health Officer <br /> I I <br /> DEDINI4 <br /> I <br /> DAVID DEDINI FAriM^a, W. <br /> DAVID pEDINI FORMS, INC. <br /> I 14415 CLINTON SflW A'JENOE 14415 CLINTON 'SOUTH AVENUE <br /> RIPON '-' <br /> RIPON, CA JAW , �'A 95�t•S I <br /> I I <br /> Nillinq tit.ai.eit Fo'r 1991 F'ermii., Underground lank Facility <br /> Stater ate : January !, 1991 <br /> paysnot Due Date: February 7; 1991 <br /> Container tee i10 4 170.U0 <br /> TOTAL FEES DUE --$170.00 <br /> I I <br /> ( hdLTES', I <br /> Notify Public Health Services, <br /> San Joaquin County of any <br /> corrections or changes I <br /> necessary . Your permit will i <br /> be mailed upon receipt of <br /> Payment and approval of <br /> 1.acuity . <br /> I <br /> Returnpayment• along with one <br /> I Copy of this statement to: <br /> 1 <br /> PUBLIC HEALTH SERVICES I <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HE:ALIH PERMII/SERVICE'S <br /> P.O. BOX 2009 <br /> STOCKTON, CA 95101 <br /> I Penalties Will be added after <br /> due date as shown: <br /> 3i! day - 100% of base Fee <br /> I <br /> I I <br /> I I <br /> I <br /> I I <br /> i � I <br /> I <br /> I <br />