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' I <br /> t PUBLIC HEALTH 'SERVICES, SAN. JOAQUIN COUNTY I <br /> 445 N. Sari Joaquin Street. (NOT A MAILING ADDRESS1 <br /> P.O- Box 2009 (JX V I <br /> I <br /> Stockton, CA 95201 I <br /> I (209) 468-3427 I <br /> Jogi Khanna, M.D. , Health Officer I <br /> i <br /> -RAY'S BEVERAGE COMPANY RAY'S BEVERAGE CO. <br /> <br /> STOCKTON, CA 95204 <br /> I <br /> I Billing 'Stat.ement. For 1992 Permit, Underground Tank <br /> statement Date : January 10, 1992 <br /> I Payment Due Date: February 10, 1992 I <br /> -- --- -ftntainer fee 0001 <br /> TOTAL FEES: DUE _-$170 00 I <br /> I <br /> I <br /> I I <br /> NOTES: <br /> Notify Public Health 'Services, <br /> I San Joaquin County of any <br /> corrections or changes <br /> necessary . Your permit will <br /> I be mailed upon receipt of <br /> Payment and approval of <br /> facility. <br /> Return payn payment alt�stat n with one _ <br /> I n: <br /> PUBLIC: HEALTH'SERVTUES <br /> I SAN JOAQUIN COUNTY I <br /> ENVIRONMENTAL HEALTH PERMIT/SERVIC:ES: <br /> P.O. BOX 2009 <br /> STOCKTON, CA 95201 I <br /> Penalties will be added after <br /> I due date as shown: <br /> 30 days - 100% of Base Fee j <br /> I I <br /> I I <br /> I <br /> I j <br /> ( I <br /> I <br />