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PUBLICS ! TH SERVICLS, SAN WAQVIN CUN <br /> O - <br /> 44S . San 1-0 <br /> NV�uin Street (NOT A MAILING ADD A14) <br /> P.O. Box 2-009 <br /> Stockton, CA 9S201 <br /> (203) 468-3427 <br /> Josi Khanna, N.D. , Health Officer <br /> CIRCL26 <br /> V MARKET V MARKET <br /> 26SO MT. DIABLO ST 26SO MT. DIABLO ST. <br /> '=Ts CA 95203 STOCKTON, CA 95203 <br /> Billing Statement For 1993 Permit, Underground Tank Facility. <br /> Statement Date January 1 , <br /> FaYmant Due Date; February 1 , 1913 <br /> Previous Balance 510.00 <br /> Container fee 0001 170.00 <br /> 0001 170.00 <br /> 0002 170.00 <br /> 0002 170.00 <br /> 0003 170.00 <br /> 0003 170.00 <br /> TOTAL FEES DUE $1,530.00 <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 /> copy of this statement to: <br /> PUBLIC HEALTH SERVICES <br /> SAN JOA)UIN COUNTY <br /> ENWONMENTAL HEALTH PERMIT/SERVICES <br /> P.O. BOX 2003 <br /> GTOCKTON, CA 95201 <br /> Penalties will be added after <br /> due date as shown: <br /> 30 days - 100% of Base Fee <br />