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KWIC HEALTH SERVICx SAN JOWIN CUTY y <br /> 160,, E. Hazelton: P.O. Box 2005 <br /> Stecktan,� �52u1 <br /> (209) 468-3425 <br /> Jogi Khanna, N.D., Health officer <br /> 88E�jU31 <br /> MW,V, A""a�i7CIATE 8 & 8 EQUIPMENT <br /> <br /> STOCkTOM, CA 95205 <br /> Billing Statement For 1990 Fermit, Underground Tank. Facility. <br /> Statement Date ; January 2, 19% <br /> Payment Due Date: February 2, 1990 <br /> Facility Fee; 100.00 <br /> Container Number; OWI 5o 00 <br /> TOTAL FEES DUE $150.00 <br /> NOTES; <br /> Notify Public Health Services, <br /> San Joaquin County of any <br /> corrections or changes <br /> necessary. Your permit will <br /> LSF.' mailed upon receipt of <br /> payment and approval of <br /> facility. <br /> Return payment along with one <br /> copy of this statement to, <br /> PUBLIC {STH SERVICES <br /> SAN JOWIN COIJNTY j <br /> ENVIRONMENTAL HEALTH PERNITISERVICES <br /> P.0. BOX 20(x9 6 <br /> STOCKTON, CA 95201 <br /> Penalties will be added after <br /> due date as shwn; <br /> 30 days - i(K)% of Base Fee <br />