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_ r <br />� mow. �eue HE�.t��Es <br /> Awe,cum <br /> /45 N.''Sma-Joaquin St~, PA Box 2045 a <br /> Stockton, CA, 95201 r <br />' � t205d .#&fk�3Ad7 <br /> � . .;« • _�• = , R.p.", thfD#fUer,.r <br /> J ' <br />� y • f � s PAINA'tA695 � ^ , <br /> 7 111 <br /> PRODUCTSi l .GASS PRODUCTS ' <br /> 6395;t ; � 550 IWJSTRIN. DRIVE <br /> STtlg1TDN, Ca ' .r STOWON,,CA 35205 1 <br /> � a� < .' ' { '�. �C_.. -�t'+..a..e»:._.:.,k;rh. .k'�y"•_.',Ye "",6L.�i�'��"' _,. -,-=h--1 <br /> ;-Zro medal Health P,ereit iswed for >- 5•TONS f#25 TM W U <br /> D °< ?inveaber i, 5 i <br /> Dt+e 9ate7, December 1, 1190 <br /> p l: TpTAL IXiE; s}26.44 <br /> �f <br /> � i11 be added after Notify the Environlitntal Health <br /> vluee ¢s shorn; <br /> Division of any corrections or . <br /> changeshrecessary:. fferAt will be <br /> 5 -IOI of Base Fp wiled upon reSeipt of paytent 1 <br /> � . a <br /> + 'a Return payment along with one copy <br /> of this statement tat <br /> 1" h r `A ✓ /r f R ( YIPt^i4ealth>Serv'iC25;^ San' oeA <br /> CountylEnvironmentai Health <br /> 5txkton CA 95201 <br /> T <br /> a � fiSy S <br /> i a: <br />