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-;}no rr. m,-r.if7i.r �. _... <br />FICSL.I_ 1 SERYI_C:, LSAa t:�it'•••''rIN �•�_�U <br />445 N. Sar .'quin Street (NOT 4 MAILING AD 3w <br />P.D. Box 2009 <br />Stockton, CA 95201 <br />( G9) 468-3427 <br />ooi Khanna. M.D. • Health Officer <br />ARCO PETROLEUM PRODUCTS CO <br />P. If. BOX 6811 <br />SAN MESTEO, CA 94402 <br />Lit:''STATION 4932-P CIFIC ARC <br />lb E. fi ARDING WAY <br />Billing Statement For 1991 Permit, Underground yank Facility. <br />Statement Cate , .Eanuar;' 7, 1991 <br />Payment Due Date: February 7, 991 <br />State surchar Qe 0001 <br />Container <br />fee <br />i1 <br />0001 <br />State surcharge <br />000 <br />Containers <br />"fee <br />0002 <br />surchargeState <br />Container <br />fee <br />000 <br />TOTAL FEES DUE <br />Notify Public Health Services, <br />'_:an Joaquin County of an <br />corrections or changes <br />necessary. Your permit. will <br />be mailed upon receipt o <br />payment and approval of _ <br />facility. <br />Return <br />1 <br />e turn payment along with one <br />Crape' of this statement t:_=� <br />PUBLIC HEALTH SERVICES <br />SAN ,Ti �AQU IN COUNTY <br />ENVIRONMENTAL HEALTH PERMI; %SERV14-ES <br />P.O. BC,X 2.09 <br />i T OCKTON, CH 95201 <br />Penalties will be added after <br />due date its E.f'io i i <br />30 days - 100% of Case Fee <br />56. Ou <br />170.00 <br />56. • L}4 t <br />170.00 <br />56.00 <br />170.0-j <br />