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. • PUBLIC HKAH SERVIC:ES, SAN JOAPUIN COUNO I <br /> 445 N. San Joaquin Street (NOT A MAILIW6 ADDRESS) <br /> P.O. Box 2009 <br /> Stockton, CA 95201 <br /> ( 09) 45E;-3427 <br /> Joy Khanna, M.D. , Health Officer <br /> I <br /> EXXON31 <br /> EXXON COMPANY EXXON SERVICE STATION #7-3:=30 <br /> 2300 CLAYTON RD SUITE 125.0 ?128 W. BENJAMIN HOLT DRIVE <br /> I CONCORD, CA 94520 `. STOCKTON, CA 95207 <br /> I <br /> Billing Statement For 1992 Permit., underground Tank Facility. { <br /> I Statement Date January 10, 1992 <br /> Payment Due Date: February 10, 1992 I <br /> Previous Balance <br /> 1 ,504.00- <br /> Facility Fee: 10o.00 I <br /> Container fee 0001 50.00 <br /> I =:tate surcharge 0001 5x3.00 <br /> I Container fee 0001 170.00 <br /> 0002 50.00 <br /> I State surcharge 0002 SE.00 <br /> Container fee 0002 170.00 <br /> 0003 ' S0.C%s? <br /> State surcharge 0003 55.00 <br /> I NOTES; Container fee 0002 170.00 <br /> I I <br /> Notify Public Health Services, 0004 50.000004 170.00 <br /> San Joaquin County of any State surcharge 0004 56.00 <br /> I corrections or changes <br /> necessary. Your permit will --------- <br /> be mailed upon receipt of TOTAL FEES DUE ; 'i. (/ <br /> payment and approval of <br /> facility. - <br /> I Return payment along with one I <br /> I copy of this statement. to; <br /> PUBLIC HEALTH SERVICES <br /> SAN JOA; U,IN COUNTY <br /> I ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> I P.O. BOX 1009 <br /> STOCKTON, CA 95201 I <br /> Penalties will be added after <br /> due data as shown; <br /> 30 days - 100; of Base Fee I <br /> I I <br /> I <br /> I <br /> I I <br /> I <br />