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PUBLIC HEALTH SERICES <br /> SAN JOAQUIN COUNTY <br /> N: < <br /> JOGI KHANNA M.D.,M.P.H. x <br /> Health Officer <br /> P.O. Box 2009 . (1601 East Hazelton Avenue) Stockton,California 95201 <br /> C4C%F p RN\P <br /> (209) 468-3400 <br /> The Tune Up Shop <br /> 3227 E. Main St <br /> Stockton, CA. 95205 <br /> TUNEU32 II <br /> BILLING STATEMENT <br /> FOR U <br /> UNDERGROUND FUEL STORAGE TANKS <br /> RE: 3227 E. Main St. , Stockton, CA. <br /> BILLING FOR 1991 PERMIT TO OPERATE AN UNDERGROUND TANK FACILITY: <br /> (Tank #3 waste oil) <br /> STATEMENT DATE: February 7, 1991 <br /> DUE DATE: March 7, 1991 <br /> CONTAINER FEES: 0003 $170. 00 <br /> STATE SURCHARGE <br /> FEE: 0003 $ 56. 00 <br /> AMC---- <br /> Penalties <br /> MC _.—Penalties will be 611C��� <br /> due date as shown LL y I7 <br /> 30 days - 100% of J� rA^�f- ryll A, <br /> NOTES: <br /> Notify Public Hea 781�'e-S s <br /> San Joaquin Count / ¢ <br /> corrections or ch <br /> permit will be ma <br /> -22receipt of paymen <br /> approval of facil <br /> I <br /> Return payment al <br /> copy of this stat <br /> Public Health Services - <br /> Environmental Health Division <br /> P.O. Box 2009 <br /> Stockton, CA. 95201 <br /> 0ivision of San Joaquin County Health Care Services <br />