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P IC 'ovASAN ftwiN Couw.i <br /> UBLI - �EABH <br /> 160,1 E. Haze 1 ton p ve.i P.0. Box 2W) <br /> '-Stockton' CA ".5201 <br /> (20) <br /> -3425 <br /> 463 <br /> jog i Vbanna, M.D. l*-a I th Of f is er <br /> MKTFA19 PA <br /> ERIC JACOBSEN M.K.J, FARMS (SRC" RECE1 7' <br /> 18666 MLLID AVE. 19201 MELLO AVE. IA�j VeD <br /> RIPON; CA 9-53,45, RIPON, CA 9S366 'V ', I ?non <br /> SAN JOA <br /> PUNUC Py <br /> Billing Statemed Fop 19%) Wit, Undergrouix! Tark Facility. <br /> -Statement.Gate- - Jari ary- -2; 19% <br /> Pament Due Bate i February 2, VSK40 <br /> Facility Fee; W0.00 <br /> Container Nuff&r: OCK"I 50.00 <br /> 000 513.00 <br /> 1OTAL. FEES DUE $00.ON, <br /> NOTES: <br /> Notify Public Health Services, <br /> San Joan U i n County of any <br /> or chairpmes <br /> Your pErmit wi I! <br /> be mailed uporn receipt of <br /> payffient and appPoval of <br /> facility. <br /> Return payment along with one <br /> copy of this statement to: <br /> FWLIC HEALTH SERVICES <br /> SAIN J(1A1,K'JlN UJUNTY <br /> EWIP,-,'NMWiAL HEALTH PERM!USEP3tICES <br /> P.O. BOX 2(0 <br /> STOCK ON, CA 95201 <br /> Penalties will be' added after <br /> due date as :-ttown: <br /> X days - IWI of. Bast- I ee <br />