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PUBLIC HEA SERVICE., SAN JOAQUIN COUNTY ` <br /> 445 N. San Joaq in Street (NOT A MAILING ADDRESS <br /> P.O. Bo 2009 s; <br /> Stockton, CA 95201 <br /> (209') 468-3427 <br /> Jogi Khanna, M.D. , Health Officer <br /> CALTR04 <br /> CAL TRANS/ATTN CHARLESE CAL TRANS MAINTENANCE STATI <br /> <br /> STOCKTON, : CA 55206 <br /> Billing Statement For 1991 Permit., Underground Tank Facility. ° <br /> Statement Date : .January 7, 1991 <br /> Payment Due Date: February 7, 1951 ^ 'i4 <br /> State surcharge 0004 <br /> Container fee OB04 170;,00,—` <br /> TOTAL FEES DUE �26 <br /> TM'HP <br /> Jdf M1 <br /> NOTES; <br /> Notify Public Health Services, PAYMENT <br /> San Joaquin County of any REBCE�yEp <br /> corr'ections or changes SAN 2 7 1,991 . <br /> QU <br /> cacuctfill ONA UNbeailed upnreeiptoENV'RME TTHgRVIC <br /> payment and approval of HEALTH <br /> facility. <br /> Return payment along with one <br /> copy of this statement to; <br /> PUBLIC HEALTH SERVICES <br /> SAN JOAQUIN COUNTY1 1, <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES Y <br /> P.U. BOX 2009 <br /> STOCKTON, CA 35201 �• <br /> Penalties will be added after <br /> due date as shown; . <br /> 30 days - 100% of Base Fee <br /> t., <br /> „ Q <br />