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PUBLIC *H SERVICES, SAN JOAQUIN COUNTO <br /> 446 N. S...,joaquin Street (NOT I A MAILING ADDRESS) <br /> P.a. Box 200_; <br /> Stockton, CA 9S201 <br /> (20% WS-2427 <br /> joqi Khanna M10. , health'Officer <br /> IIKIL12 <br /> TIKI LAGUN RESORT AND MARINA <br /> HORST HANE 12998 W. MC DONALD RD. <br /> 12198 W. MC DONALD RD. STOCKTON4 CA 9S206 <br /> STOCKTON, CA 95206 <br /> t, Underground lank Facility <br /> Billing Statement FOP I" Fe" <br /> Statement Date I January 7, 1991 <br /> payment Due Date! February 7, 1991 container We 000i 170.00 <br /> State surcharge 0001 WOO <br /> TOTAL FEES DUE $226-00 <br /> NOTES,, <br /> Not.ify Public HeRith SeIVIM, <br /> San Joaquin County of any, <br /> corrections or changes <br /> necessary . Your "ermit will <br /> be mailed upon receipt Of <br /> payment and approval of <br /> facility . <br /> Return payment along with one <br /> copy of this statEmEnt <br /> PUBLIC HEAL IH SERVICES <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALIH PERMIT/SERVICE'S <br /> P.O. BOX 2009 <br /> STUCKION, CA 96201 <br /> Penalties will be added after <br /> due date an ohown, <br /> 0 days joy of Base Fee <br />