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PUBLIC HEALTH SERVICEe- V JOQJIN CAJOTY Y <br /> 1601 E. Hazelton A, P.O. Box 2009 <br /> Stochmi CA- 95201 <br /> 20'1) 468-3425 <br /> Jpgi Khanna, M.D., Kealth Officer <br /> CALTP,04 <br /> BOB SUMMERS CFH. TRANS MAINTENANCE STATION <br /> <br /> % STOCT7if$,, CA 95206 <br /> Billing Statement For I'M Permit, l.'-nderground Tank Facility. <br /> Statement Date ; January 2, 1990 <br /> Payment. Due Date! February 2, 1990 <br /> Facility Feet 100.0 <br /> Container Number: 0004 50.04) <br /> TOTAL FEES DUE Siso.00 <br /> NOTES: <br /> Notify Public Health Services, <br /> San Joaquin County of any <br /> correction or changes <br /> necessary. Your permit will <br /> be 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 HEALTH SERVICES <br /> SAN JOAQUIN COUNTY <br /> ENVIROHMNTAL HEALTH PERMITiSERVICES <br /> P.O. BOX 2009 <br /> STOCKTON, CF 95201 <br /> Penalties will be added after <br /> due gate as shown; <br /> 10 days - 100% of Base Fee <br />