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FIVR I C HEALTH SERV n CES <br /> SAN JCA Nim Ci NIFY <br /> 1601 E, Hazelton Ave., P.10. Pox zwj <br /> Stockton, A 522 <br /> (20) 468-."ter <br /> Jrai Khmma, M.G: , Health Off icer <br /> PAERCAR'l7 <br /> E. R CARPENTER ., INC. E. R. CARPENTER CO,, INC. <br /> F. 9. BOX 279 1.7100 L._ HARMAN RD. <br /> LATKU, CA 9SStiE. LATHROP, CA 5.3130 <br /> Billing StateL,*rtt for Service Period ending; RECei bey. ai, 1390 <br /> Environmental Health F�-rmit to be issue) for, W 5 T(M3 < 25 ToHA7 W <br /> i HAZARI'�=JS WASTE �ERA T uR) <br /> Statement Date; November 1, 19,35 <br /> Due Date: 11ef eT&r. 1, 199 <br /> Tul'AL RIE 12'1.2S <br /> f'erraities sill be ada!u aftar Notify the Enviruimeirtal Tait; <br /> dildo' &Le a5 t-,rK:tr+ Division of anti Corrections cir <br /> oranges necessary. Permit will to <br /> 110 days -100% of Rase Fire rrrailed upon, receipt of pays-pnt. <br /> Return payment al;ing with one copy <br /> of this statement to <br /> Public Health Services, San Joaqui-n <br /> Cc;urrt�ylEnviTonr-*rta1 Health <br /> Y. C. Rug; 2009, Stockton, CA 55:0' , <br />