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KKIC iCALTH &RU1(fS, SAN T QUI (fIUNIY <br />44S N. Sate Joaquin Street (NOT A MAILING AOMSS) <br />P.O. Sox 2003 <br />,r .`Stockton, CA 9S201 <br />'j" (2O3) 468-3921 <br />Jogs P:hanna, M.U., Health Officer <br />CHARTER. NAY AUTO REYCLERS <br /> <br /> <br />CHART93 <br />"AARTER WAY AUTO REC:YCLERS <br />93U E: CHpkiER WAY <br />STOCKTON, CA 35206 <br />Billing Stat nt For 1391 Feroit, lindergrotind "lank Facility. <br />Staterfent gate ; April 3, 1531 <br />Payment Due gate; May 3, 19% <br />State surcharge (01 S6.W <br />Container fee w0i 170.0) <br />TOTAL FEES OUEr25.aJ <br />I <br />I <br />I <br />I VTES; <br />I <br />Notify Pub;iC Heaiihi ServICES, <br />San Joaquin County of any <br />Corrections or changes <br />necessary. Your pewit will <br />tx rai1w upon receipt of <br />payment and approval of <br />}acuity <br />I <br />Return Paytent along with; one <br />copy of mis statefient tO; <br />PUB1.1£: HEALTH SERVICES <br />SFM SfiAWIN i1$) `v <br />EWiROANiEWAL HEALTH PERMIT/:SERVICE'S <br />P.O. BOX 2W'_t <br />afOCKJGN, CA 9S20i <br />I <br />Peraities will hz added after <br />dt& date as show;: <br />I <br />I 30 days - iiKkX of Lease Fee <br />i <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />