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O S` HEALTH SERVICES <br />{ `./ SANt oCIA4�UIN COUNTY '� { <br /> 44S N. San Joaquin St. , P.O. Box '2009 <br /> Stockton, Ca 96201 <br /> (209) 46'-0340 { <br /> � t I <br /> I I <br /> I <br /> NIPERMCLO I <br /> { NIWES275S <br /> Site Information: <br /> I WESTERN METER SERVICE TUM DANIELS <br /> I <br /> STOCKTON CA <br /> I I <br /> I I <br /> Iservices were provided for You by the Environment! Health Division on <br /> July 2, 1992 for TANK REMOVAL 7/2/92 <br /> I I <br /> I � <br /> I I <br /> invoice Date; AUGUST 1S, 1992 TOTAL DUE: $26.50 <br /> I I <br /> I I <br /> 10% Penalty will be added each f <br /> 30 days Fast invoice date. <br /> PLEASE REPORT CHANGES IN THE RETURN PAYMENT ALONG WITH ONE COPY OF <br /> SPACE PROVIDED BELOW WITHIN THIS STATEMENT TO: <br /> 1S DAYS OF THE DATE OF THIS I <br /> INVOICE. IF NOTIFICATION IS Public Health Services, San Joaquin <br /> NOT RECEIVED WITHIN THAT TIME County/Environmental Health <br /> PERIOD, THE PARTY IDENTIFIED P.O. Sox 2009, Stockton, Ca 95201 <br /> { ABOVE WILL BE LEGALLY RESPON- <br /> SIBLE FOR THIS BILL. <br /> 1F THE ABOVE BILLING ADDRESS: It NOT CORRECT, PLEASE INDICATE BELOW: I <br /> I <br /> jNAME:----------------------------------------- PHONE #------------------ I <br /> 1 ADDRESS:------------------------------------------------------------------ <br /> i -------------------------- ------------ ---------------- <br /> CITY STATE ZIP <br /> I I <br /> I I <br /> f I <br /> E I <br /> I - I <br /> I I <br /> I I <br /> I I <br /> I I <br /> l � <br />