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r' <br /> 9a97�4 <br /> PUBLIC HEALTH SE('Vyr�, AN JOA�UI. � <br /> 16ol E. Hazelton Ave., P.O. Box 2 <br /> Stockton, CA 95201 <br /> 6 jogi Khanna, M:U., Health Officer <br /> <br /> PORT STOCKTON FO US PA YM <br /> 1950 E MINER AVS 1950 E MINER AVENUE <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 RECElV,NT <br /> F fg ED <br /> IV <br /> Billing Statewnt For 1999) Permit, Underground Tank. Facility. fN�PUst JOAC HQtj , :r9g0 <br /> sanuary 1990 RNNMNETgi NES <br /> Statement bate � <br /> Payment-0ne Pate;°Petnusrd 2, i99C' o ON <br /> Facility Fee: <br /> W. <br /> U4.1 <br /> Container Numoer; ')Oil SO.00 <br /> TOTAL FEES DUE $150.J..", <br /> f, <br /> NOTES; <br /> Notify Public Health *,ervices, <br /> San Joaqjin County of any <br /> corrections or changes <br /> pecessary. Your permit will <br /> be mailed upon receipt of <br /> payment and agprovai of <br /> tatility. <br /> Return payment along with one <br /> copy of this statement to, <br /> PLIC HEALTH SERV.ICE'S <br /> 'I. 'TPL HEA�f�r �EHMiTi.,tRv1TE:3 <br /> P.O'. BOX 2009 <br /> STOCKTON, CA 95201 <br /> Penalties will be added after 1 <br /> due date as shown; <br /> t <br /> S0 days - 100% of Base Fee <br /> C <br />