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PUBLIC HEALTHiSERVICES, SAN X4UIN CCS'. <br /> 1601 E. Hazelton Ave.,P .O. Box 2009 <br /> .` Stockton, CA 9520; <br /> ' (209) 468-3425 <br /> Jogi KhanN, M.D. Health Officer <br /> PAYMENT <br /> „ Ft RECEIVED <br /> AN 12 1990 <br /> SAN JOAQUIN COU\ <br /> PUBLIC HEALTH SERVji 2ES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> Billing Statement. For 19% Permit, Underground.Tank Facility. <br /> "Statement Date January 2, 1990 <br /> Facility Fee; 100.00 <br /> Container Nor: 0001 50.00 <br /> TOTAL FEES DUE $150.00 <br /> WJTESs <br /> Notify Public Health Services, <br /> San Joaquin County of any <br /> corrections or changes <br /> necessary. Your permit will <br /> tie mailed Lyon receipt of <br /> paywt and approval of <br /> facility. <br /> Return payment along with one <br /> copy of 'ails statement. to.1 <br /> P lfO HEALTH SERVICES <br /> SAN JOWIN C K1y <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> P.O. BOX 2iJUi - <br /> STWON, CA 9529 <br /> Penalties will he added after <br /> due date as shown; <br /> 34 days - it*% of Base Fee <br /> 4 It [+ I <br /> x� I- <br />