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PUBLIC HEALTH SERVICES, SAN JOAQUIN COUNTY <br /> 445�N. San Joaquin Street (:NOT A MAILING ADORESS) <br /> I P .O. Box 2(*9 _ ... <br /> Stockton, CA 95201 I <br /> (209) 468-3427 <br /> I Jogi Khanna, M.D. , Health Officer <br /> I I <br /> ' REGG 10 I <br /> S h R EGG RANCH S h R EGG RANCH <br /> ! <br /> ACAMPO, CA '35220 <br /> I I <br /> ! Billliig Statement. For 1592 Permit, Underground Tank Facility, <br /> Statement Date January 10. 1992 ! <br /> ! Payment Due Date! February i0, 1992 ! <br /> Cc!ttainer fee - -IrOl <br /> I <br /> TOTAL FEES, Ole_ liU.00 <br /> I I <br /> I NOTE'S; <br /> I Notify Public Healt . ervices, <br /> San Joaquin County of any { <br /> ' corrections or changes <br /> necessary . Your permit will I <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 SERVICES ! <br /> I SAN TOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES I <br /> I P.O. BOY. 2009 <br /> STOCKTON, CA 95201 I <br /> I Penalties will be adde f+— .{ <br /> due date as .shown: <br /> I ` 'ev& <br /> 30 days - 100% of Base _ R 1 1ggW <br /> N � <br /> INa°Ani,1 <br /> I <br /> SP HF.P� , ��+i� ! <br /> A0"ME"tP} ! <br /> I <br /> . y <br /> I <br /> I . <br /> i <br />