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PAYMENT <br /> RECEIVED <br /> JAN 2 8 1991 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISIC^: <br /> BOCKMON & W001 800''N z: fao. 1't <br /> P. Cl. BOX 101Cs j30 E. MINER AVENUE. <br /> STOCKTON, CA 9S201 STOCKTON, CA 952i- <br /> Billing St.at.ement. For 1991 Permit, Underground Tank Facility <br /> S a ernen a e : ..a fuary <br /> PaymentDue Date; February i, 1'-r1 <br /> Cont-airarer.-iAw 0001 1:10.ir0 <br /> 'at.ate surcharge 0001 56.00 <br /> TuTAL FEES DUE $226.00 <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 /> keturn payment along with one <br /> copy of tF7is sufae t 't2+.,.... <br /> PUBLIC HEALTH SERVICES _ <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> P.O. BOX 2009 <br /> STOCKTON, CA 952(,1 <br /> Penalties will be added after <br /> due date as show-W <br /> 30 days -100% of Base Fee <br />