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i PUBLIC � <br /> � :ELIC: HEALTH SERVICES <br /> C:E�' +� � <br /> I <br /> SAN JON-QUIN COUNTY <br /> Stockton, Ca 95201 <br /> (209) 468-0340 <br /> I � <br /> NASEMC:i 4 Site Informationii <br /> ::::EMCO E ,R. CARPENTER � <br /> 4:=.1 W HATCH RD. 17100 S HARL AN RD . � <br /> MODESTO, CA ' 5:;51. � <br /> p � <br /> r:k.'F'1T .Cr:=' i4 }'t '3''-'v: � ' $ 4:.s'(i.. .y�=u by the E1�vi F i_Fi�}� e-r1 '.1 Health Division on 1 <br /> Dect3 beb ' 18, 1992 for INSTAL.L.OF MONITORING EQ1VIP,PLA1,,4 REV12/iG/92 <br /> i <br /> I <br /> f <br /> invoice C}at•e; JANUARY 15, 1'x'3::; TOTAL C}t;E ; $78 , <br /> � C}�-� � <br /> I <br /> f 10% Penalty will Lse _dkdded each � <br /> days Feist• invoice date . <br /> PLEASE REPORT CHANGE'. IN THE RETURN PAYMENT ALONG WITH ONE C:s:PY OF <br /> '=:F'AC:E PROVIDED BELOIJ WITHIN THIS STATEMENT TO; <br /> i15 DAYS OF THE DATE OF THIS <br /> INVOICE , IF NOTIFICATION 1S Pub iI��lt-h r:;ea}�vac��; Sari Joaquin <br /> Ni_€T RECEIVED WITHIN THAT TIME County/Environmental Health <br /> PERIOD, -� Y �'� E;,_,.f, i?iy{_}'M# ; •�`jC�=:t•���ll� 4 �ls= 4}1 <br /> i"tD, ILL" <br /> F'P7.1 � I DE�'�4'I L F.I ED F'.L. =� <br /> 4 AsovE u ILL. BE LEGALLY RESF'ON- <br /> i <br /> S.IBL.E. FOR THIS HILL.. <br /> t " <br /> I THE ABOVE BILLING ADDRESS IS NOT CORRECT,, PLEASE I ND I C:ATE BELOW ! <br /> ----------------- <br /> PAYMENT <br /> RECEIVED <br /> j AN 2 91993 <br /> SAN�OAQtj1N CQI�NTY <br /> plyaLIC HEAL SAL <br /> HENT"1jCE5Ie1 <br /> 4 <br />