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w PUBLIC HEALTH SERVICES <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH <br /> 445 N San Joaquin St., P.O. Box 2009 <br /> Stockton, Ca 95201 <br /> (209) 468-3447 <br /> January 10, 1992 <br /> BILLING STATEMENT <br /> .TIME OIL COMPANY JACKPI5 <br /> .2737 W COMMODORE WAY JACKPOT FOOD MART <br /> .SEATLE, WA 98199 1434 W YOSEMITE AVE <br /> MANTECA, CA 95366 <br /> Billing statement for 1992 Permit, Underground Tank Facility: <br /> Statement Date: January 1'0r 1992 <br /> Payment Due Date: February y� 1992 <br /> �5 <br /> Previous Balance <br /> *111le IT �a�ti e� $ 76 <br /> 1992 Container Fee C O <br /> 0004 $170 <br /> 0005 170 71) <br /> 0006 170 <br /> TOTAL FEES DUE $50 <br /> NOTES: <br /> Notify Public Health Services, <br /> San Joaquin County of any <br /> corrections or changes necessary. <br /> Your permit will be mailed upon <br /> receipt of payment and approval of <br /> facility <br /> RETURN PAYMENT ALONG WITH ONE COPY <br /> OF THIS STATEMENT TO: <br /> PUBLIC HEALTH SERVICES <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> P.O. BOX 2009 <br /> STOCKTON, CA 95201 <br /> PAYMENT <br /> Penalities will be added after RECEIVE® <br /> due date as shown: 1 8 1992 <br /> 30 days - 100% of Base Fee FEB <br /> PusuSAN HEP'T�p RVp L TLA <br /> ENVtRONMENI��M�Ljµ <br />