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v� <br /> u`�r �� HSERVICES, � N jOAQUlN CUUNlYP8BL3 ^ |4�� N ��n }8~�' � tre�t N�[ A MA/LlNG A808— � � ! <br /> P.O. Box 2009 / <br /> Stockton/ [A 95201 <br /> | <br /> , <br /> (2O9) 468'-342-7 \ <br /> ' ]ogi Khanna, M 0. / Heaith Offi[er | <br /> / / | <br /> x � / <br /> | <br /> �X�0N31 / <br /> | <br /> EXXON COMPANY RANDY VETESY EXXON / <br /> ' 45�{ DAC[MA 3128 N. BENJ�MlN H,'-'Li DRIVE <br /> | <br /> | | <br /> HOUSTON, TX 77092 ST0CKT0N. CA 962O/ / <br /> � | <br /> i | <br /> Billing Statement For 1q91 Permit, Underground 7ank Facility. / <br /> | <br /> i7' <br /> Statement Date � January 1991 <br /> ' <br /> � | <br /> Payme-rit Due Date; February 7/ l491 / <br /> � | <br /> | <br /> State surcharqi� 000| 60 / <br /> ContaiDer fee 1/O 0V | <br /> State surcharge 00 | <br /> iontaiKer fee 170 VA i <br /> State surcharge 000"1 <br /> K <br /> Container fee 0003Q Oh ' <br /> , | <br /> �70.0O /| <br /> State surchar9e 0�04 <br /> / <br /> '----^--- | <br /> N0TES� Pu[AL FEES DUE ' j | <br /> ' <br /> Notify Public Health Services/ | <br /> San Joaquin CountY o{ anY | <br /> corrections or changes | <br /> yDecessdry Your permit will / <br /> ' be mailed uPon receiPt of / <br /> | <br /> ' Payment and approval af / <br /> facility . \ <br /> / <br /> | <br /> HetbrV payment along with ore ` <br /> copy of this statemeni tu� | <br /> } { <br /> | PU8Li[ HEALTH SEKVlC�'S / <br /> ' SAN JOAQU{N COUNTY / <br /> | ENVlR8NME14TAL REALTH PERM�T/SE�V]CES / <br /> | <br /> P.O. 80X 2O09 | <br /> � | <br /> i SI0CK\ON/ CA 9�Ol � <br /> / | <br /> / <br /> Penalties will be added after | <br /> � dUP diate as sAown� l <br /> / . <br /> | � <br /> / 30 days ~ 100Y# of Base Fee | <br /> / <br /> | <br /> ' | <br /> | / <br /> | <br /> .� ' <br /> \ ` <br /> �—�N4000 <br />