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PUBLIC 'III"" 'AN JOWIN MWy - <br /> 1601 E. Hazel ve., P.U. Box 2003 <br /> Stockton, CA 95201 <br /> (209) 468-3425 <br /> Jogi Khanna, N.D., Health Officer <br /> STCKKTfW GOLF g Ci RY 01118 STOCK06 <br /> STDCkTC <br /> P. O. BOX 336 @f 601E 3 COUFiTRY C1tA3 <br /> STOUTON, CA %201 In <br /> OCKTON, CA <br /> Billing Statement For 1930 Permit, Underground Tank Facility. <br /> Statement Date ; January 2, 1390 <br /> Payment Due Gate; February 2, 19% <br /> Facility Fee; 100.010 <br /> Container Number; 00<01 50.00 <br /> Cbt12 5o,00 <br /> 0003 50.00 <br /> TOTAL FEES DUE MOM <br /> NOTES; <br /> Notify Public Health Services, <br /> San Joaquin County of any <br /> corrections or changes <br /> necessary. Your permit will <br /> be tailed upon, receipt of <br /> Payment and approval of <br /> facility. <br /> Return payment along with one <br /> copy of this statement fo: <br /> PaKC 'HEALTH SERVICES <br /> SAN JOAWN COMY <br /> ENVIKOBTAL HEALTH PERNITISERVICES <br /> P.O. BOX 2009 <br /> STOCKTON, CA 95201 <br /> Penalties will be added after <br /> due date as shown: <br /> �f0 days - 100% of Base Fee <br />