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PUBLIC. *TH SERVICES,, �+��! �`�aR �4►II+f C.�.EUN <br /> w _ _ Q • ' ` <br /> 445 N. San Jcaluin Street (NOT A MAILING ADDRESS) <br /> P.O. Box 2009 <br /> Stockton, CA 95201 <br /> -3427 <br /> (209 468 <br /> Jo9i Khanna, M.D. , Health Officer <br /> TIKIL12 <br /> HORST HANF TIf•,i LAWN RESORT AND €1ARINA <br /> 121988 W. MC. DONALD RD. 12.88' W. MC DONALD RD. <br /> STOCKTON, CA 9.5206 ',LTi ti.KTON, Gtr 952106 <br /> E,i 1 l i n.g .0taterrrent. Fo-r- 1991 Permit.. Underground Tank Facility . <br /> PzAyrfient Due Date; February -7, 1591 <br /> Container fee o6o1 1ii}.4aCy <br /> State surcharge 0001 56.00 <br /> TOTAL FEES DUE $226.00 <br /> 0TES t <br /> Notify Public Health Servires, <br /> rr r <br /> J� J�3agUtn a� �lar1tY +J� any <br /> �L=rre�t•ilrlr�ar �h64�F'�t"= ? T necessary . Y'6- ur p"rrflit will iC`r 1 <br /> Payment and approval of <br /> facility_ <br /> Return payment- along with one <br /> ... .n..,.t_..s ..�F.�+�--Ps� 3{a-"'�tei��Tft&i�r�*«�++2':;:...z.-.m..,.:�... - , •-,... .._.,..... <br /> PAYMENT <br /> PUBLIC HEALTH c;.ERVIC:E'S RECEIVED <br /> SAS! JOAWIN COUNTY FE 8 - 5 f4Q� <br /> ENVIRONMENTAL HEAL'a'H PERM I IT/ElERVIC:E'a ` <br /> SAN JOAQiIIrq COUNTY <br /> P.O. BOX 21009 SAN <br /> HEALTH SEp-',ICES <br /> S T OC KTON, CA ENORONMENTAL HEALTH DWISK)N <br /> Penalties krill. be added after <br /> due date -as shown <br /> :3o {:lays - loci% of mase Fee <br />