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| <br />| <br /> } <br />/ PU8LlC HEALTH SERV\CES/ SAN JBAAUlN COUNTY / <br />| 446 N. San Joaquin Street (NO A MAlLlNG A&8RESS! � <br />| <br />| ' <br />. Stockto-ri/ CA 96201 | <br />| (209) 468-342.7 / <br />| <br /> Jo-ii Khanna M 8 Health ;fficer / <br />/ ' M.D. ' \ <br />| ' <br />` | <br />| / <br />` | <br /> ANUEK21 ' <br />| <br /> <br /> <br /> <br /> LINDEN, CA 0 \ <br />| / <br />' | <br />/ . <br />/ | <br />} <br /> Billing Statement For 1991 Permit/ U86ec9rouno lank racilxty . ' <br />| ` <br />' | <br />| Statement Date January /` 1991 / <br /> / | <br />/ Payment Due Date% [ebruary 991 ' <br />/ | <br />' CuntaIner, <ee 8001 170.OV | <br />� ---_--^-- / <br /> T0TAL FEE6 OU� $|/0�Of. <br />' | <br /> | <br />| / <br />/ <br />| <br />' | <br />| / <br />/ | <br /> | . <br />/ | <br />| ' <br />' N8iES; | <br />| . <br />/ | <br /> | <br /> ` Notify Public Health Services, ' <br /> / San Joaquin County of any | <br /> | <br />| cyrre�tions or chan9es . <br /> | <br />\ necessary Your permit will . <br /> | bemailed upon receipt of | <br /> / <br />| <br /> PaYment and -approval of |/ <br /> '| f6ci\ity |� <br /> | | <br /> / Return payment a}ong with one ' <br />/ <br /> copy of this statemerii to; <br />[ � <br /> PUBLIC HEALTH 'SERVICES | <br /> SAN J8AgUIN COUNTY � <br />| <br /> ENVIRONMENTAL HEALTH PERMl*1 /SERYlCLS <br /> � <br /> P�OBOX 2009 | <br />/ � <br />| ST0CKTON^ CA 96201 | <br />/ <br />| | <br />/ Penalties will be added after ' <br />| | <br />/ <br /> due date as shuwn� / <br />| | <br />| 38 days - 100% of ease Fee | <br /> i | <br />| | <br /> | <br /> | <br />| | <br /> | | <br /> | | <br /> | | <br /> | | <br /> � � | <br />