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PUBLIC HEAL%.wiSERVICES, SAN JOAQUIN COUNT`*.' ''N <br /> N. San Joagi irt-Street. (NOT A MAILING ADDRE" <br /> Citi�: - - <br /> P.il. rbrx: 1009.. <br /> Stockton, C:A 95201 PAYMENT <br /> (204) 468—'-:427 RECEIVED <br /> Jogi Khanna, M.D. , stealth Offic_- JAN 0 4 1993 1 <br /> SAN JOAQUIN COUNTY <br /> CKEDI80 PUBLIC HEALTH SERvtc._s <br /> CARL KARCHER ENT. LARK K.ARCHER ENT ENVIRONMENTAL HEALTH DIviSION � <br /> 800 MELL.ON AVENUE 800 MEL.LON AVENUE- � <br /> MANTECA, CA 963.6 MANTECA, CA 9S336 � <br /> �i l l ang St.at.ement. For 199 Permit., Underground Tank: Facility. <br /> Statement Date . : _Januar-Y . 1,, 199 <br /> Payment DueDate; February 1 , 199:; � <br /> _ {_nnt.alne^ f F`�- <br /> TOTAL FEE': DUE <br /> NOTES: <br /> Notify Public Health 'Services, <br /> San Joaquin County of any <br /> corrections or changes <br /> necessary . Your permit will <br /> be mailed upon receipt of <br /> payment and approval of � <br /> facility . <br /> Return payment along with one <br /> r-opy_t�f�_t•h 2's-5t 2t:eR'!FRt,-fin_.;-- ,.. ...._. .......__. __ -r.,.'._.` _•__-.�.. . -_.... .._._.: <br /> PUBLIC HEALTH .`SERVICES <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> P.O. BOX 2009 <br /> _:TOCKTON, CA 95-901 <br /> Penalties will be added after > <br /> due date as shown: <br /> I <br /> 30 days - 100% of Base Fee L,Jixl ^/ - <br /> y�tj- 7S 0 <br /> � / s >✓ <br /> \� <br /> 'Ilk <br /> r <br />