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e y • h1Eti - '-� +moi - 1- <br /> WN 1itAQUIN COUNTY <br /> VaClui)1 t . , P . O . ES[V; 2 <br /> Jtockton, Ca 9S201 <br /> 2 09 468-0340 <br /> NIPERMCLO <br /> NIUNIO215 <br /> Site Information: <br /> GEi-TLER ci RYAN UNION OIL #01 .7 <br /> 1':•C> WEI;T WINT'ON 437 E MINER <br /> HAYWARO CA '34S45 FOCKTUN CA <br /> Services were provided for you by the Environrientl Health Division on <br /> 1992, for�r TANK REMOVAL I NSPEC I TON 5/8 & 7/7/'-4 <br /> invoice Gate : JULY 15, 1'=19 TUBAL DUE $1 .w_i . 00 <br /> ii>Y. Penalty wi I I be- added eact- <br /> t, ) days Pastinvoice date . <br /> PL-EA *.E REPOR-i CHANGE' IN THE RETURN PAYMENT ALONG WITH ONE COPY OF <br /> SPACE PROVIDED BELOW WITHIN THIS STATEMENT TO: <br /> IS GAY: OF THE DATE OF THIS <br /> INVOICE . IF NOTIFICATION IS Public Health Services, :_a)i Joaquin <br /> NOT RECEIVED WITHIN THAT TIME County/Environmental Health <br /> PERIOD, THE PARTY IDENTIFIED P. O . Box 2009, Stob--.tor , Ca 952b1 <br /> ABOVE WILL BE LEGALLY RESPON- <br /> _:ISLE FOR THIS BILL . <br /> IF THE ABOVE BILLING ADDRESS IS NOT CORRECT, PLEASE INDICATE BELOW: <br /> NAME. --- --.-..- - — - --- - _ - - -- -- --- PHONE #-------------------- <br /> ADDRE'SS : -'-..-_...-------'------------------•-----.-...--------------------------------- <br /> CITY STATE ZIP, <br /> PAYMENT <br /> RECEIVED <br /> AUG G 11992 <br /> SAN JOAQUIN COUNTY <br /> OPT PUBLI ,HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br />