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PUBLIC HEAL- ` SERVICES, SAN JOAQUIN COUNTY � <br /> 445 N. Sa „Ioalueh Street (NOT A MAILING WORESSOV- <br /> P.O. Box 2009 <br /> Stockton,on CA35201 <br /> `$j.. <br /> .._ 468-0427 <br /> Jogi Khanna, M.D. , Health Officer <br /> I- ,F <br /> L iDIT82 <br /> <br /> <br /> LODI , CA 95240 <br /> I I <br /> Billing Statement For 1992 Permit., Underground Tank Facility . � <br /> -. la+ivar-- <br /> '�tat,ement,�Ciate Y <br /> Payment Due Date: February 1, 199: <br /> I <br /> 1 <br /> Container fee 0001 170. 00 � <br /> i 0002 170. - - + <br /> (1003 1xt.00 j <br /> 0004 % 17_ . I <br /> TOTAL FEE; DUE ITT) lb <br /> NO rES: <br /> I Notify Public Health Services, <br /> Safi Joaquin County of any <br /> i correct-ions or changes <br /> necessary . Your permit will <br /> be sailed upon receipt of <br /> payment and approval of <br /> facility . pAYMSNT <br /> RgGE,IVE0 <br /> Return Payment along with one 81993 <br /> copy of this statement to: jAN Q <br /> PUBLIC HEALTH SERVICE`-; E�{P.OAIMEN�AL HENS <br /> SAN JOAQUIN COUNTY pERM1Tf�4;.r ,.- <br /> ENVIRONMENTAL HEALTH PERMIT%SERVIO <br /> P.O. BOX 2009 <br /> j STOCKTON, CA 95201 <br /> Penalties will be added after <br /> due date as shown: <br /> 30 days - 100% of Base Fee <br /> f <br /> I I <br /> I <br /> I , <br /> I <br />