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r f � <br /> SITE MITIGATION PROGRAM <br /> BILLING LETTER OF ACKNOWLEDGEMENT: <br /> 'To: SAN JOAQUIN COUNTY PUBLIC HEALTH. SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION (PHS-EHD) <br /> 445 N. SAN JOAQUIN ST. <br /> P. O. SOX 2009 <br /> STOCKTON, CA 95201 <br /> ' IIi <br /> -:FROM <br /> - Am.e rd.c_ n-,S a..v.i n s -8 a n k-j- - <br /> (property owner- name) <br /> 400 E . Main St . <br /> (owner mailing address) <br /> Stockton CA 95201.' <br /> (city, state, ZIP) <br /> RE: 1888 Lockheed Court - Stockton , CA <br /> 'atiY (site address) <br /> I (We) declare that the assessment activity being performed at the <br /> above referenced site is being conducted with my(oUt) knowledge and <br /> approval. Furthermore I(we) acknowledge that payment of PHS-EHD, <br /> charges will become my(our) responsibility in the event said.` <br /> charges are not paid by the client and/oz operator identified 'oh <br /> the attached "Site Mitigation Acknowledgement/Request for Services <br /> Form. " } <br /> s gnature and title) (phone number) <br /> o till <br /> (date) <br /> LC\8ILACKN:FR.M <br /> fi <br /> a <br /> i <br />