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PUBLIC HEALTH SERVICES, SAN JOAQUIN COUNTY ti <br /> 1601 E. Hazelton Ave., P.O. Box 7043 <br /> Stockton, CA 95201 <br /> (209) 468-3425 <br /> Jogi Khanna, M.Q., Health Officer <br /> PACIF83 <br /> PACIFIC COAST PROVERS PACIFIC COAST PRODUCERS <br /> P. O. BOX 159 835 S. STOCKTON � <br /> LOQI, CA 95241 LODI, CA 95240 S /r�� CC <br /> Billing Statement For 1994 Permit, Underground Tank Facility. <br /> Statement <br /> Qu�ate January Date: February 22,110 <br /> 9910 <br /> Payment y <br /> Facility Fee: 100.W <br /> Container Number: 0005 50.00 <br /> 0446 so.()0 <br /> TOTAL FEES DUE $200.00 <br /> NOTES: <br /> Notify Public Health Services, <br /> San Joaquin County of any <br /> corrections or changes <br /> necessary. Your permit will <br /> tc. mailed upon receipt of <br /> payment and approval of <br /> • facility. ' ,,, ,. r� <br /> Return payment along with one —� <br /> copy of this statement to: naft "a1 <br /> 4 <br /> PUBLIC HEALTH SERVICES <br /> SAY JOAQUIN COUNTY ' <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> P.O. BOX 2445 `,%. f'�., `tiv <br /> STOCKTON, CA 95201 <br /> Penalties will be added after <br /> due date as shown: <br /> 30 days - 100% of Base Fee <br />