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r PUBLIC fHL H SERVICES, SAN <br /> ^ _- : I PCOUNTY <br /> 445 N. San <br /> Joaquin Street (NOT L, MAILING ADDRE.r :.'l <br /> P.O. Box 2009 <br /> Stockton, CA 95201 <br /> (209) 468-3427 <br /> Khanna, <br /> L_ ,i Health <br /> Jai F-. ,:,�`.na, M.D. , ealth Officer <br /> WA?ER4.3 <br /> `_=HELL <br /> <br /> <br /> STOCKTON, CA 9G205 <br /> Billing Statement For 199 Permit, Underground Tank Facility. <br /> Statement Date January 10, 1992 <br /> Payment Due Date; February 10, 1992 <br /> Previous Balance 4.{)0- <br /> Container fee 0001 <br /> 0003 170.00 <br /> 0004 170.Oo <br /> 0005 170.00 <br /> TOTAL FEES DUE $606.0-0 <br /> NOTES; <br /> Notify Public mealt•ff Services, <br /> San Joaquin County of any <br /> corrections or changes <br /> necessary . Your permit will, <br /> be mailed upon receipt o <br /> payment and approval of <br /> facility . <br /> Return payment- along with one <br /> copy of thiE statement to; <br /> PUBLIC HEALTH SERVICES <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH PERM--/'ERVl-rS <br /> P.O. BOX 2009 <br /> STOCKTON, CA 96201 <br /> Penalties will b,; added after <br /> ofae iiai.e its shown; <br /> of <br />