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s; PlfE iC '01 -'h SERVICES. SAN JtVWIN CIOTY <br /> raa "'Wck2Ln, CA 4,4201 - <br /> • \YVJ) 440-392.4 . <br /> Jogi Khanna, M.0 , health CNficer. <br /> ANDER21 <br /> IdILLl 1 C AN }S;;N WILLIAM C. P7�LR', N <br /> 21015 E. MTOCK ROAD <br /> LIMEN, CA ?i <br /> Billing Statetment. For IK-K) Permit, Underground Tank Facility. <br /> a a� erL vdLe <br /> Paytetvi,Due [tate: FIimt 1, 15'40 <br /> FPr IL , <br /> Contair*r Number: 001 2S-V) <br /> TCrfAL FEES DUE <br /> f: <br /> �h'OTs: <br /> Notit P�Jtlic Health brrviccs" - <br /> fan Jo�auin Caimtr of an; <br /> correct.ion5 or changes <br /> necessary. Your permit will <br /> be mailed upon receipt of <br /> payeent. and approval of <br /> facllliy. <br /> Return payment along with olre <br /> copy c'f this statement tvH <br /> PLIC tLALTH SERVILH 1.4 <br /> n <br /> SAN tt�Fxd O co" J J <br /> EWIi 03.NV,4.1AL HEFILTH PERMIT SMICE:_ �// <br /> P.0 K,x 21109 AUG 0 61990 L <br /> STCUT N, CA 45241 <br /> Pep-.li.ipcPU <br /> d.;.la r� + atter. :; JOAQUIN CuJNTY <br /> BLIC HEALTH SERVICES <br /> 30 days - 1001 of Rase Fee <br />