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ft f <br /> "'AN :fl+AQi:lltwt HEALTH Ul,"N'T IC 1 <br /> iG01 E. Flamelt._+rt Ave. , P.O. Box 2001--s <br /> Ui41CtN4' ' <br /> UNuC. L - UNION OIC 3:31 018Y <br /> 11 iJ C: t1_IEi=6k,Nl BLVD :_ATE 650 a.Lt:r E . MINER AVE: <br /> WALNU i CREEK. IMSA 9 4 596- TIC-IN, C:A �4•��i' <br /> Ii 11 ins) tat•,;meist. Eo•t, 19r'e--Pf€tl -n U,er'1`clus'tu _Fcliff„ t .iili1Y%y <br /> .Statement Date <br /> i;,=t'ftta i'i s,e-i Nuritber � 00(-.)! <br /> 40TES <br /> Natity the ;:an •_loa ui', Lr cti <br /> Health District of any <br /> co-r-rections c-0, <br /> ne e,L v l y . Yciur Perf(ti t '")ill <br /> be fsai1.eo upon receipt. of <br /> payment and :,prT{val of ' <br /> farilit•�' . <br /> ENVIRONMENTAL HEALTH f'E MIT/SE''RvIC:E' <br /> Pe—n 1.1tie5 w1 i 1 be added est ter <br /> due . <br /> ate as s howr, <br /> 210 [3r_lY5 - 100%0% I nt bEiSe F*'E". <br />