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c�c t2-3 eCHEALTH <br /> PUB SEIVICES <br /> SAN JOAQtiIN COUNTY z' ? <br /> JOGI KHANNA NI D.,MR11 <br /> Health Officer <br /> P.O. Box 2009 • (1601 East Hazelton Avenue) Stockton, CaliforY�� <br /> �4 %7 C F o R`� <br /> (209) 468-3400 ° L6 1,S ��° <br /> DLA DDRW AUG 2 r 1991 <br /> ENVIRONMENTAL PROGRAM OFFICE <br /> ATTN: JOHN GUZMAN <br /> ALTH <br /> LATHROP, CA. 95331 [. ;V FMIT.SERVICENTAL ES <br /> BILLING STATEMENT <br /> UNDERGROUND STORAGE TANKS <br /> FACILITY LOCATION: SHARPE FACILITY, ROTH RD, LATHROP. <br /> Billing for 1991 fees for permit to own and/or operate an <br /> Underground Tank Facility. <br /> Statement Date: August 8, 1991 <br /> Payment Due Date: upon receipt <br /> Facility Fees: $ N/A <br /> TANK REPAIR FEES: <br /> Tank 0021 $ 159. 00 <br /> Tank 0025 159. 00 <br /> Tank 0027 159.00 <br /> TOTAL AMOUNT OF FEES DUE: $ 477.00 <br /> If you have any changes or <br /> corrections please call our PAYMENT <br /> office when statement is RECEIVED <br /> received at (209) 468 3427. <br /> SAN JOAQUIN (:t tJ'NITY <br /> Please remit with payment one copy of this PUBLIC HEALTH <br /> statement to : ENVIRONMENTAL HEAL:H 6 mSION <br /> PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISION <br /> P.O. BOX 2009 <br /> STOCKTON, CA 95201 <br /> 0 9 030 1 <br /> 04 <br /> dA Division of San Joaquin County Health Care Services <br />