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c +-L C2- - <br />PUBL <br />IC HLALIH 3LRVICLk' <br />SAN JOAQUIN COUNTY <br />JOGI KHANNA M.D.. M.P.H� <br />Health Officer. <br />P.O. Box 2009 0 (1601 East Hazelton Avenue) • Stockton, Catifo I <br />( 209) 468-3400 <br />0 <br />DLA DDRW AU G 2 r 1991 <br />ENVIRONMENTAL PROGRAM OFFICE <br />ATTN: JOHN GUZMAN C ;VIR0NMENTAL HEALTH <br />LATHROP, CA. 95331 I'Er IT.'SERVICE'S <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 />W 2 7 14111 <br />SAN jOAQUIN C( --j ITy <br />Please remit with payment one copy of this PUBLIC HEAL T H a.Y.'y ICES <br />statement to : ENV!RONNIUIJAL FIEHE. T :A ?IV!SION <br />PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISION <br />P.O. BOX 2009 <br />STOCKTON, CA 95201 <br />0 S Wja %0. <br />A Division of San Joaquin County Health Care Services 0 <br />ti <br />