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r PUBLIC: HEA�,.,.i SERVICES,, *N JOAQUIN COUNTY <br /> 445 N. San Joaquin Street (NQ;T A MAILING ADDRESS) <br /> P.O. E%oX. 2009 1 <br /> Stockton, CA 195201 1 <br /> (209. 468—'s427 PAYMENT I <br /> Jogi Khanna, M.D. , Health Officer RECEIVED 1 <br /> JAN 13 1993 1 <br /> I 1 <br /> h ' _,IMPti40 SAN JOAQUIN COUNTY <br /> WILLIAM25CO ONAD ' J.H. SIMP.SON COMPAN' PUBLIC HEALTH SERVICES <br /> 4015 CCJkDhdADO AVENUE I,1' 4025 CORONADO AVENUI ENVIRONMENTAL HEALTH DIVISION 1 <br /> STOCKTON, , CA 95104 STOCKTON, , CA <br /> { <br /> Billing Statement For 1993 Permit, Underground Tank: Facility. <br /> Statement Date January 1 1993 <br /> r _ <br /> Eeitt�er�t uue vatcs ret�raJary Iiyi3 - <br /> I <br /> Container fee _0001 170 (0 <br /> I <br /> I P SII TOTAL FEES DUE �170.!1U <br /> I NOTES; <br /> Notify Public Health Services, <br /> San .Joaquin County of any <br /> corrections or changes <br /> necessary. Your permit will f n <br /> be mailed upon receipt of <br /> Payment. and approval of U I V1 <br /> facility. GG !I <br /> I <br /> I Return payment along with one 1 <br /> cdPP of tdrls statement to <br /> PUBLIC HEALTH SERVICES <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES i <br /> P.O. BOX 2009 <br /> STOCKTON, CA 96101 <br /> I 1 <br /> Penalties will be added after / <br /> 1 due date as shown, " I <br /> 'v days 1UP0% of Base Fee <br /> 1 <br /> I <br /> I <br /> I <br />