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PUK*EALTH SERVICE'S, SAN JOAQUIN CIOi' <br /> 1 1601 E. Hazelton Ave. , P.O. bo: 2009 <br /> StOck00 <br /> ton, CA 952 <br /> (209) 458-3425 <br /> Jogi Khanna, M.D. , Health Officer <br /> SOCIE43 <br /> SOCIETY FOR CHRISTIAN INSTRUC. <br /> 4=5 N. MAPLE '1OCIETY FOR CHRISTIAN INSTRUC. <br /> RIPON, CA 95335 4='S N. MAPLE <br /> RIPON, CA 95,336 <br /> March 5, 1990 <br /> On January 2, 1590 the above facility was billed for an <br /> Underground Tank Facility. This fee is for your required Permit to <br /> operate for the Period January 1, 1990 to December 31, 19';0. <br /> Penalties were added to the rate of due a <br /> 100% of the Fast. o,r_,unt. <br /> as • f March 2, 1390. The amount now due and payable is 5:300.00 <br /> If Payment has been sent., Please disregard this notice. Should you have any <br /> questions regarding this billing statement, Please contact this office at <br /> (2'09) 468-3425 between 5;00 A.M. and 5500 P.M. <br /> t <br /> Id <br /> % Notify Public Health Services, <br /> an Joaquin County of any <br /> S' corrections or changes <br /> necessary. Your Permit. will <br /> 3 be mailed upon receipt of <br /> Payment and approval of <br /> facility. <br /> Return Payment along with one <br /> ' copy of this statement to; <br /> r} <br /> PUBLIC HEALTH SERVICE>S <br /> SAN .JOAQUIN COUNTY <br /> 3 ENVIRONMENTAL HEALTH PERMITJSERVICES <br /> P.O. BOX 2009 <br /> J <br /> J • • <br />