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�3 <br /> PUBLIC HAS SERVICE::, SAN JOAQUIN COUNTr� <br /> 445 N. San Joaquin Street (NOT A MAILING ADDRESS) <br /> F.O. Box 2009 <br /> Stockton, CA 95201 <br /> (2 )9) 468-3427 <br /> Jogi Khanna, M.D. , Health Officer <br /> EXXON21 <br /> EXXON COMPANY EXXON SERVICE STATION #7-3330 <br /> 2300 CLAYTON RD SUITE 12.50 3128 W. BENJAMIN HOLT DRIVE <br /> CONCORO, CA 94S20 STOCKTON, CA 95207 <br /> Billing Statement. For 1992 Permit., Underground Tank: Facility. <br /> -statement Date January 10, 1992 <br /> Payment Due Date: February 10, 1992 <br /> Previous Balance 1 ,504.00- <br /> Facility Fee; 100.00 <br /> l <br /> Container fee 0001 50. ,7 <br /> State surcharge 0001 56.00.1 <br /> Container fee 000i IWOO <br /> 07002 50.00 <br /> State surcharge 0002 56.00 <br /> Container fee 0002 170.00 <br /> 0003 50.00 <br /> State surcharge 0003 55.00 <br /> NOTES: Container fee 1001 170.00 <br /> 0004 50.00 <br /> Notify Public Health Services, 0004 170.00 <br /> San .Joaquin County of any State surcharge 0004 SQ 00 <br /> corrections or changes <br /> necessary. Your permit Will <br /> -- <br /> be mailed upon receipt of TOTAL FEES DUE iA- <br /> payment and approval of <br /> facility . 30� <br /> Return payment along with one <br /> copy of this statement to: <br /> PUBLIC HEALTH :_,ERVICES <br /> SAN .JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> P.O. BOX 2009 <br /> STOCKTOv, CA 95201 <br /> Penalties will be added after <br /> due date as shown; <br /> 30 days - 1001 of Base Fee <br />