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` 1 <br /> PUBLIC q�--ALTH SERVICES, SAN 3QA(IUIN {C>lf J <br /> J 445 N. San *aquin Street (NOT A MAILING A0029S) <br /> J P.O. Box 200.1 <br /> J Stockton, CA 95201 J <br /> (209) 458-3427 <br /> Jogi Khanna, M.W , Health Officer <br /> I J <br /> MOR010 J <br /> LAMBERT BARNUM STAN MORRI FORD � <br /> P.O. BOX 1071 104 W. ELEVENTH ST J <br /> J SAN ANDREAS, CA 95249 TRACY, CA 95376 } <br /> I <br /> J <br /> billing Statement For 1y91Permit, Underground Tank Facility . J <br /> Statement Date January 7, 1991 J <br /> Payment Due Date: February 7, 1991 <br /> TOTAL FEES DUE $0.00 I <br /> � 1 <br /> I J <br /> � J <br /> JI <br /> J NO ES: <br /> Notify Public Health Services, J <br /> San Joaquin County of any J <br /> corrections or changes <br /> necessary . Your permit. will J <br /> be mailed upon receipt of J <br /> payment and approval of J <br /> facility. <br /> � J <br /> Return payment along with one <br /> copy of this statement to: <br /> PUBLIC' HEALTH StRV10ES <br /> J SAN JOAOUIN COUNTY <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES J <br /> J P.O. BOX 2009 J <br /> STOC:KTON, CA 9SE0i <br /> J <br /> Penalties will be added after <br /> due date as shown; 1 <br /> J :30 days - 100% of Base Fee <br /> J <br /> J <br /> I <br /> � I <br /> J <br /> I i <br /> I <br /> � J <br />